Organization Active NPI

Stat Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Sheboygan, WI
National Provider Identifier
1972749513
Registry record updated Jan 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STAT MEDICAL SUPPLY LLC
Practice address
6624 Lone Oak Dr
Sheboygan, WI 53081-9102
Phone
(920) 918-6828
NPI assigned
Jan 4, 2009
Last updated
Jan 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Nathan W Underhill
Title
Owner
Phone
(920) 918-6828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

6624 Lone Oak Dr
Sheboygan, WI 53081-9102

Mailing address

6624 Lone Oak Dr
Sheboygan, WI 53081-9102
Phone (920) 918-6828

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231027200000",
    "number": "1972749513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 LONE OAK DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530819102",
            "telephone_number": "920-918-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 LONE OAK DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530819102",
            "telephone_number": "920-918-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-04",
        "last_updated": "2009-01-04",
        "status": "A",
        "authorized_official_last_name": "UNDERHILL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-918-6828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.