Provider Demographics
NPI:1083905772
Name:A2Z DME SPECIALISTS, INC.
Entity Type:Organization
Organization Name:A2Z DME SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:SURBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-725-8229
Mailing Address - Street 1:5333 COMMERCE SQUARE DR
Mailing Address - Street 2:SUITE K
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-8627
Mailing Address - Country:US
Mailing Address - Phone:317-893-2159
Mailing Address - Fax:
Practice Address - Street 1:5333 COMMERCE SQUARE DR
Practice Address - Street 2:SUITE K
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-8627
Practice Address - Country:US
Practice Address - Phone:317-893-2159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200988730AMedicaid
IN200988730AMedicaid