Organization Active NPI

Gulf Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Lafayette, LA
National Provider Identifier
1982183026
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GULF MEDICAL EQUIPMENT
Practice address
102 Cable Dr
Lafayette, LA 70506-2201
Phone
(844) 877-7548
Fax
(337) 205-8631
NPI assigned
Aug 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Jonathan Walsh Crisman
Title
Manager
Phone
(844) 877-7548

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

102 Cable Dr
Lafayette, LA 70506-2201

Mailing address

102 Cable Dr
Lafayette, LA 70506-2201
Phone (844) 877-7548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190610001800 LA DME Supplier - Medical Supply Company 5890028641 Practice locations: Lafayette, LA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Gulf Medical Equipment102 Cable Dr, Lafayette, LA 70506-2201(844) 877-7548 Power Operated Vehicles (Scooters)|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchairs (Complex Rehabilitative Manual)|Wheelchairs (Complex Rehab Manual Rel Accessories)|Wheelchairs… Accepts assignmentParticipating since Jun 21, 2019

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

102 Cable Dr
Lafayette, LA 70506
Phone (844) 877-7548

310 E Gloria Switch Rd
Lafayette, LA 70507

211 Guilbeau Rd
Lafayette, LA 70506

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1982183026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CABLE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062201",
            "telephone_number": "844-877-7548",
            "fax_number": "337-205-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CABLE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062201",
            "telephone_number": "844-877-7548",
            "fax_number": "337-205-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "CRISMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "WALSH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "844-877-7548"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.