Organization Active NPI

Cardiosom, LLC

  • Oxygen Equipment & Supplies (DME)
  • Dublin, OH
National Provider Identifier
1073523643
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
HMEL 11150 Issued in OH
Legal business name
CARDIOSOM, LLC
Doing business as
CardioSom of Columbus
Practice address
6275 Emerald Pkwy # B
Dublin, OH 43016-3241
Phone
(614) 799-8409
Fax
(614) 799-8496
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Mr. Jay Jarrell
Title
President/Coo
Phone
(317) 706-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X HMEL 11150 OH Primary

Addresses

Primary practice location

6275 Emerald Pkwy # B
Dublin, OH 43016-3241

Mailing address

615 W. Carmel Dr.
Suite 100
Carmel, IN 46032-5504
Phone (317) 706-1080

Other names 1

  • CardioSom of Columbus Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1073523643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W. CARMEL DR.",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325504",
            "telephone_number": "317-706-1080",
            "fax_number": "317-574-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 EMERALD PKWY # B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430163241",
            "telephone_number": "614-799-8409",
            "fax_number": "614-799-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOSOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "317-706-1080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "HMEL 11150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CardioSom of Columbus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.