Superiaire Oxygen & Equipment, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1973 Issued in FL

Legal business name

SUPERIAIRE OXYGEN & EQUIPMENT, INC.

Practice address

405 W Oak Ave
Panama City, FL 32401-2737

Phone

(850) 769-0080

Fax

(850) 785-3661

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Denyse M Trong, RRT

Title

President/ Owner

Phone

(850) 769-0080

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shoreline Medical Solutions Doing business as

Locations

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1174620710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W OAK AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012737",
            "telephone_number": "850-769-0080",
            "fax_number": "850-785-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W OAK AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012737",
            "telephone_number": "850-769-0080",
            "fax_number": "850-785-3661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIAIRE OXYGEN & EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "TRONG",
        "authorized_official_first_name": "DENYSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "850-769-0080",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "1973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025923300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S PROVIDER ID",
            "identifier": "R9379",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Medical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Panama City, FL
• Providers in Panama City, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.