1487324133 NPI number — NATIONAL SEATING & MOBILITY, INC.

Table of content: THEODORE D. MASEK MD (NPI 1720073935)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487324133 NPI number — NATIONAL SEATING & MOBILITY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATIONAL SEATING & MOBILITY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487324133
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5959 SHALLOWFORD RD STE 443
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHATTANOOGA
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37421-2245
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
423-756-2268
Provider Business Mailing Address Fax Number:
423-266-9690

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2001 108TH ST STE 104
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GRAND PRAIRIE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75050-1429
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-677-0186
Provider Business Practice Location Address Fax Number:
214-677-0157
Provider Enumeration Date:
09/15/2021

Additional Information

Authorized Official

Authorized Official Last Name:
WILLIAMSON
Authorized Official First Name:
STEPHANIE
Authorized Official Middle Name:
Authorized Official Title or Position:
SENIOR PAYER RELATIONS MANAGER
Authorized Official Telephone Number:
423-756-2268

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com