Susan K. Panzarella

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SUSAN K. PANZARELLA

Doing business as

Lifestyle Medical Solutions

Practice address

9652 FM 1960 Bypass Rd W
Humble, TX 77338-4039

Phone

(281) 446-7771

Fax

(281) 446-7701

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Susan K PanzarellaNPI 1386795078

Title

Owner

Phone

(281) 446-7771

Specialties & licenses 4

Addresses

Other identifiers 5

Other names 1

• LIFESTYLE MEDICAL SOLUTIONS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan K Panzarella

  • Durable Medical Equipment & Medical Supplies
  • Humble, TX
  • NPI 1386795078
  NPD (past) Authorized official

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1972771715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9652 FM 1960 BYPASS RD W",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384039",
            "telephone_number": "281-446-7771",
            "fax_number": "281-446-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9652 FM 1960 BYPASS RD W",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384039",
            "telephone_number": "281-446-7771",
            "fax_number": "281-446-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN K. PANZARELLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "PANZARELLA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-446-7771",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162449602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162449601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMELINK",
            "identifier": "V16521",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "531483",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "531601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFESTYLE MEDICAL SOLUTIONS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• SWCW, Inc. (Southwest Corporate Wellness)
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• Durable Medical Equipment & Medical Supplies in Humble, TX
• Providers in Humble, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.