Active NPI
Oxycare Plus, Inc.
- Durable Medical Equipment & Medical Supplies
- Columbus, MS
National Provider Identifier
1154394476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- OXYCARE PLUS, INC.
- Practice address
- 404 Wilkins Wise Rd
Suite 3
Columbus, MS 39705-1711 - Phone
- (662) 329-9095
- Fax
- (662) 329-8699
- NPI assigned
- Feb 8, 2006
- Last updated
- Oct 27, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan Logan
- Title
- Director of Operations
- Phone
- (662) 329-9095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
404 Wilkins Wise Rd
Suite 3
Columbus, MS 39705-1711
Mailing address
404 Wilkins Wise Rd
Suite 3
Columbus, MS 39705-1711
Phone (662) 329-9095
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 622 | Other | AL | AL BOARD OF HME SUPPLIERS |
| 00440836 | Medicaid | MS | |
| 009985220 | Medicaid | AL | |
| 04965/11.1 | Other | MS | BOARD OF PHARMACY |
| 900407 | Other | AL | BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930081285 | MS | DME Supplier - Medical Supply Company With Respiratory Therapist | 4385756741 | Practice locations: Columbus, MS |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Tupelo, MS
- NPI 1831162932
4385756741
-
- Durable Medical Equipment & Medical Supplies
- Northport, AL
- NPI 1053737627
4385756741
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Oxycare Plus | Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs… | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Oxycare Plus Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- Oxford, MS
- NPI 1245936681
-
- Durable Medical Equipment & Medical Supplies
- New Albany, MS
- NPI 1417804568
-
- Oxygen Equipment & Supplies (DME)
- Iuka, MS
- NPI 1811708019
-
- Durable Medical Equipment & Medical Supplies
- Tupelo, MS
- NPI 1831162932
-
- Durable Medical Equipment & Medical Supplies
- Northport, AL
- NPI 1053737627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603756800000",
"number": "1154394476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 WILKINS WISE RD",
"address_2": "SUITE 3",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397051711",
"telephone_number": "662-329-9095",
"fax_number": "662-329-8699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 WILKINS WISE RD",
"address_2": "SUITE 3",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397051711",
"telephone_number": "662-329-9095",
"fax_number": "662-329-8699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OXYCARE PLUS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-08",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A",
"authorized_official_last_name": "LOGAN",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "662-329-9095"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL BOARD OF HME SUPPLIERS",
"identifier": "622",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00440836",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009985220",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "04965/11.1",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "900407",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.