Oxyoasis, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OXYOASIS, LLC

Doing business as

St Lukes Medical Center

Practice address

1631 Atlanta Rd
Gainesville, GA 30504-5942

Phone

(770) 718-1517

Fax

(770) 718-1518

NPI assigned

Mar 11, 2008

Organization subpart

Yes

Parent organization

-As reported in NPPES

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

Authorized official

Name

Melanie L Cooper, MD

Title

Ceo

Phone

(678) 613-3213

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• St Lukes Medical Center Doing business as

Part of

Health Practices LLC

Locations

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1093985699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 ATLANTA RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045942",
            "telephone_number": "770-718-1517",
            "fax_number": "770-718-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 ATLANTA RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305045942",
            "telephone_number": "770-718-1517",
            "fax_number": "770-718-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXYOASIS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2008-03-11",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-613-3213",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000800588K",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Lukes Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Scott Owens, PHARM.D.
• Paige E. Owens, FNP, BC
• Roger Douglas Owens, M.D.
• Tammy Wilbanks Owens, FNP-C
• Stacey Oxford, AGACNP
• Pamela Ann Pacquiao, MD
• Jennifer Victoria Page, LPC
• Jennifer Palazzo, MPT
• Tessa Palisoc
• Hannah Grace Palmer, MA

• Family Medicine Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.