Boomer Medical Supply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

922564188 Issued in CO

Legal business name

BOOMER MEDICAL SUPPLY

Practice address

17935 E Florida Dr
Aurora, CO 80017-5315

Phone

(720) 998-9552

Fax

(720) 282-3215

NPI assigned

Aug 26, 2013

Organization subpart

No

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

Authorized official

Name

Tiffany D Smith

Title

Member

Phone

(720) 998-9552

Specialties & licenses 1

Addresses

Tax ID family

Boomer Medical Supply2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Boomer Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Aurora, CO
  • NPI 1184058281
  NPD tax ID

Locations

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1972937043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 E 33RD AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072028",
            "telephone_number": "720-998-9552",
            "fax_number": "720-282-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17935 E FLORIDA DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800175315",
            "telephone_number": "720-998-9552",
            "fax_number": "720-282-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOMER MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "720-998-9552"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CO",
            "license": "922564188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Bookman, MD
• Dominic Books
• Meghan Books, APRN
• Nancey Bookstein, PT
• Boomer Medical Supply
• Karlie Moore Boone, PA
• Ian C Boor, MD
• Austin Montgomery Boos, DO
• Sarah Kristine Boos, PA-C
• Eliza Boote

• Oxygen Equipment & Supplies (DME) in Aurora, CO
• Providers in Aurora, CO by specialty
• Oxygen Equipment & Supplies (DME) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.