TG Oxygen, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

TG OXYGEN, LLC

Doing business as

Fairway Medical

Practice address

943 S 48TH St
104
Tempe, AZ 85281-5123

Phone

(480) 347-9190

Fax

(877) 620-9804

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Klimczak

Title

Vice President

Phone

(480) 231-8849

Specialties & licenses 2

Addresses

Other names 1

• Fairway Medical Doing business as

Tax ID family

TG Oxygen LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• TG Oxygen, LLC

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

Locations

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1164729943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 S 48TH ST",
            "address_2": "104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815123",
            "telephone_number": "480-347-9190",
            "fax_number": "877-620-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 S 48TH ST",
            "address_2": "104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815123",
            "telephone_number": "480-347-9190",
            "fax_number": "877-620-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TG OXYGEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "KLIMCZAK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "480-231-8849",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairway Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Tempe, AZ
• Providers in Tempe, 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 Feb 14, 2011; 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.