Organization Active NPI

Medical and Respiratory Services

  • Oxygen Equipment & Supplies (DME)
  • Fort Walton Beach, FL
National Provider Identifier
1992092621
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MEDICAL AND RESPIRATORY SERVICES
Practice address
922 Mar Walt Dr
Suite 101
Fort Walton Beach, FL 32547-6630
Phone
(850) 862-6277
Fax
(850) 862-6279
NPI assigned
Jul 1, 2011
Last updated
Jul 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Mr. Billy Burdett Vordtriede, RRT
Title
General Manager
Phone
(850) 533-6266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

922 Mar Walt Dr
Suite 101
Fort Walton Beach, FL 32547-6630

Mailing address

922 Mar Walt Dr
Suite 101
Ft. Walton Beach, FL 32457
Phone (850) 862-6277

National Provider Directory

National Provider Directory

Locations

922 Mar Walt Dr
Ste 101
Ft Walton Bch, FL 32547
Phone (850) 862-6277

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1992092621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 MAR WALT DR",
            "address_2": "SUITE 101",
            "city": "FT. WALTON BEACH",
            "state": "FL",
            "postal_code": "32457",
            "telephone_number": "850-862-6277",
            "fax_number": "850-862-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 MAR WALT DR",
            "address_2": "SUITE 101",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476630",
            "telephone_number": "850-862-6277",
            "fax_number": "850-862-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AND RESPIRATORY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "VORDTRIEDE",
        "authorized_official_first_name": "BILLY",
        "authorized_official_middle_name": "BURDETT",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "850-533-6266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.