Organization Active NPI

Charlebois Medical Systems

  • Durable Medical Equipment & Medical Supplies
  • Mustang, OK
National Provider Identifier
1083789143
Registry record updated Aug 22, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(8) exclusion effective Dec 20, 2009.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CHARLEBOIS MEDICAL SYSTEMS
Practice address
2019 E State Hwy 152
Suite 101
Mustang, OK 73064
Phone
(405) 376-2656
Fax
(405) 256-0254
NPI assigned
Nov 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Tom John Charlebois
Title
President
Phone
(405) 376-2656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2019 E State Hwy 152
Suite 101
Mustang, OK 73064

Mailing address

2019 E State Hwy 152
Suite 101
Mustang, OK 73064
Phone (405) 376-2656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

2019 E State Highway 152
Ste 101
Mustang, OK 73064
Phone (405) 376-2656

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083789143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 E STATE HWY 152",
            "address_2": "SUITE 101",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "73064",
            "telephone_number": "405-376-2656",
            "fax_number": "405-256-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 E STATE HWY 152",
            "address_2": "SUITE 101",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "73064",
            "telephone_number": "405-376-2656",
            "fax_number": "405-256-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLEBOIS MEDICAL SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHARLEBOIS",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-376-2656",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mustang, OK

Sources for this page

Verify at the official NPI Registry.