Medical Oxygen Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL OXYGEN SUPPLY LLC

Practice address

105 Manzanares Ave E
Socorro, NM 87801-4212

Phone

(505) 835-1230

Fax

(505) 835-3882

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Harold C Dotston Jr.

Title

Partner

Phone

(505) 835-3882

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154341683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1306",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878011306",
            "telephone_number": "505-835-3882",
            "fax_number": "505-835-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MANZANARES AVE E",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014212",
            "telephone_number": "505-835-1230",
            "fax_number": "505-835-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL OXYGEN SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOTSTON",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "505-835-3882",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra P McBride, B.S.
• Sigrid McCabe, OT
• Martha McGowan, LCSW
• Treasha Diane McManes, CCSS
• Angela McMillan
• Erin Melendrez, CCSS
• Ruby Mendez-Harris, LPCC
• Eric Walburn Metzler, M.D.
• Mary Miles, LMT
• Mary Mochan, O.T.

• Durable Medical Equipment & Medical Supplies in Socorro, NM
• Providers in Socorro, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.