Amelia Gayle Lee

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

39-S-1120 Issued in OK

Legal business name

AMELIA GAYLE LEE

Doing business as

A Plus Medical Supplies

Practice address

530 Hunter Ave
Boswell, OK 74727-0275

Phone

(580) 566-1938

Fax

(580) 566-1939

NPI assigned

Jun 13, 2006

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amelia Gayle Lee

Title

Owner

Phone

(580) 566-1938

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• A Plus Medical Supplies Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1083657753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "address_2": "530 HUNTER AVE.",
            "city": "BOSWELL",
            "state": "OK",
            "postal_code": "747270275",
            "telephone_number": "580-566-1938",
            "fax_number": "580-566-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HUNTER AVE",
            "city": "BOSWELL",
            "state": "OK",
            "postal_code": "747270275",
            "telephone_number": "580-566-1938",
            "fax_number": "580-566-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA GAYLE LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-566-1938",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "OK-1504-XX-O",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OK",
            "license": "39-S-1120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200062240A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200114960A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Plus Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boswell Public Schools
• Jesse Michael Farmer Sr., RN
• Haylie Ashtyn Mata
• Jodie H Moore, APRN-CNP
• Julie Palmer

• Oxygen Equipment & Supplies (DME) in Boswell, OK
• Providers in Boswell, OK by specialty
• Oxygen Equipment & Supplies (DME) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.