Organization Active NPI

Oxygen Plus LLC

  • Oxygen Equipment & Supplies (DME)
  • Monticello, IN
National Provider Identifier
1063511780
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
OXYGEN PLUS LLC
Practice address
111 S Main St
Monticello, IN 47960-2329
Phone
(574) 583-4747
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul David Allen, RCP
Title
Member
Phone
(574) 583-4747

Specialties & licenses 1

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

Addresses

Primary practice location

111 S Main St
Monticello, IN 47960-2329

Mailing address

PO Box 152
111 S Main Street
Monticello, IN 47960-0152
Phone (574) 583-4747

Other identifiers 1

IdentifierTypeStateIssuer
314448OtherINBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

120 N Railroad St
Monticello, IN 47960
Phone (574) 583-4747

111 S Main St
Monticello, IN 47960
Phone (574) 583-4747

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063511780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152",
            "address_2": "111 S MAIN STREET",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479600152",
            "telephone_number": "574-583-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MAIN ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479602329",
            "telephone_number": "574-583-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXYGEN PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "574-583-4747",
        "authorized_official_credential": "RCP"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "314448",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.