Stat Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STAT MEDICAL LLC

Practice address

60 E Township St Ste 5
Fayetteville, AR 72703-2836

Phone

(877) 521-5510

Fax

(866) 403-2361

NPI assigned

Mar 16, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Jon Thornton Capps

Title

Owner

Phone

(479) 263-9433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1982107728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E TOWNSHIP ST STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032836",
            "telephone_number": "877-521-5510",
            "fax_number": "866-403-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E TOWNSHIP ST STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032836",
            "telephone_number": "877-521-5510",
            "fax_number": "866-403-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "CAPPS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "THORNTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-263-9433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Stanley
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• Jeremy M Stark, LCSW
• Kathryn Stark, PHARMD
• Samantha Raychell Starling, ATC
• Stat Veteran Wound Care Inc
• State of Arkansas (Arkansas Veterans Home at Fayetteville)
• Ryan Staten
• Robert C Stauffer, MD
• Kimberly Ann Stauss, PHD

• Durable Medical Equipment & Medical Supplies in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.