KSS DURABLE MEDICAL SUPPLY (NPI# 1710190400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710190400 |
| Entity Type | Organization |
| Organization Name | KSS DURABLE MEDICAL SUPPLY |
| Practice Address |
5209 N Jardot Stillwater OK 74075-6128 |
| Practice Telephone | 4053855040 |
| Practice Fax Number | 4053855009 |
| Mailing Telephone | 4053855040 |
| Mailing Fax Number | 4053855009 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-10-14 |
| Authorized Official Name | MR. JOSEPH DAVID SIMON (PRESIDENT OWNER OPERATOR) |
| Authorized Official Telephone | 4053855040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
5209 N JARDOT |
| City | STILLWATER |
| State | OK |
| Zip Code | 74075-6128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205495421 | Caitlyn A Lewis | Peer Specialist | 1624 Cimaron Plaza, Stillwater, OK 74075 | 2019-06-11 |
| 1861915316 | Chelsea Keel | Counselor | 3800 N Washington St, Stillwater, OK 74075 | 2017-07-17 |
| 1740475375 | Paula Dawn Evans | Marriage & Family Therapist | 110 E Lakeview Drive, Stillwater, OK 74075 | 2007-09-06 |
| 1194942102 | Trey Ratzlaff | Physical Therapy Assistant | 1810 N Perkins Road, Stillwater, OK 74075 | 2007-04-19 |
| 1629197678 | Melissa Sue Cox | Dietitian, Registered | 4700 West Mcelroy, Stillwater, OK 74075 | 2007-03-29 |
| 1033210851 | Robert Anton Crotty | Podiatrist | 120 N Perkins Rd, Ste A, Stillwater, OK 74075 | 2006-09-26 |
| 1235242074 | Ross Hospice of Ponca City, LLC | Hospice Care, Community Based | 1020 N Boomer Rd Ste 1, Stillwater, OK 74075 | 2006-08-16 |
| 1033156559 | Hac Inc | Pharmacy | 421 N. Main, Stillwater, OK 74075 | 2006-06-01 |
| 1912404583 | Hunter Elizabeth Schlosser | Case Manager/Care Coordinator | 421 E Thomas Ave, Stillwater, OK 74075 | 2018-04-10 |
| 1295246213 | Melissa Kay Wilson-watts | Case Manager/Care Coordinator | 421 E Thomas Ave, Stillwater, OK 74075 | 2017-10-17 |
| Find all providers in zip 74075 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376048728 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 921 Greeley St S # 19101a, Stillwater, MN 55082-5935 | 2018-03-28 |
| 1144778465 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2315 N Perkins Rd, Stillwater, OK 74075-2203 | 2016-09-15 |
| 1306226576 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 1715 Tower Dr W, Suite 100, Stillwater, MN 55082-7583 | 2015-06-03 |
| 1477944049 | Melissa Brown | Durable Medical Equipment & Medical Supplies | 1585 Amundson Ln, Stillwater, MN 55082-4135 | 2015-02-18 |
| 1427307776 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 101 E Hall of Fame Ave, Stillwater, OK 74075-5425 | 2012-08-31 |
| 1629364799 | Grace Medical Inc. | Durable Medical Equipment & Medical Supplies | 1106 2nd St N, Stillwater, MN 55082-4059 | 2011-06-27 |
| 1770713307 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1601 W 9th Ave, Stillwater, OK 74074-5202 | 2009-07-16 |
| 1912193871 | Light Therapy Products | Durable Medical Equipment & Medical Supplies | 5623 Memorial Ave N, Stillwater, MN 55082-1092 | 2007-09-24 |
| 1114112943 | Keith G Bankes | Durable Medical Equipment & Medical Supplies | 3361 State Route 487, Stillwater, PA 17878-9300 | 2007-09-14 |
| 1295868941 | Drummond Optical, LLC | Durable Medical Equipment & Medical Supplies | 424 S Knoblock St, Stillwater, OK 74074-3024 | 2007-03-13 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 74075 |
Please comment or provide details below to improve the information on KSS DURABLE MEDICAL SUPPLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.