TG Oxygen LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

532 Issued in AZ

Legal business name

TG OXYGEN LLC

Doing business as

Arizona Home Care

Practice address

1110 E Pennsylvania St
Tucson, AZ 85714-1666

Phone

(520) 295-1111

Fax

(520) 295-1112

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jason Smidt

Title

Coo

Phone

(602) 252-5000

Specialties & licenses 2

Addresses

Other names 1

• Arizona Home Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• TG Oxygen, LLC

  • Oxygen Equipment & Supplies (DME)
  • Tempe, AZ
  • NPI 1780995761

  O20100930022800

  Same enrollment

Locations

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1083672323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 S EDWARD DR",
            "address_2": "SUITE #405",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816200",
            "telephone_number": "602-252-5000",
            "fax_number": "602-323-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 E PENNSYLVANIA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857141666",
            "telephone_number": "520-295-1111",
            "fax_number": "520-295-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TG OXYGEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "SMIDT",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "602-252-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "532",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AZ",
            "license": "532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Tetlow
• David Tetrault, OD
• Carol A Tetrick, RN
• Stephanie L Teubner, PMHNP, RN
• Kai Rou Tey, M.D.
• Hoang Minh Thai, M.D.
• Bijin Thajudeen, M.D
• Sheetal Thaker, MD
• Sergio Gustavo Thal, MD
• Sue Y Tham, MSW

• Oxygen Equipment & Supplies (DME) in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Oxygen Equipment & Supplies (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.