Organization Active NPI

Med-Ox Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Elyria, OH
National Provider Identifier
1174625370
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
11076 Issued in OH
Legal business name
MED-OX HOME MEDICAL
Practice address
8960 Leavitt Rd
Elyria, OH 44035-4208
Phone
(440) 986-2215
Fax
(440) 986-2218
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Mr. Mark A Smith
Title
Managing Member
Phone
(937) 323-5764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 11076 OH Primary

Addresses

Primary practice location

8960 Leavitt Rd
Elyria, OH 44035-4208

Mailing address

4867 Urbana Rd
Springfield, OH 45502-9503
Phone (937) 323-5764

Other identifiers 1

IdentifierTypeStateIssuer
2742876MedicaidOH

Other names 1

  • Mark II Ent., LTD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1174625370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 URBANA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455029503",
            "telephone_number": "937-323-5764",
            "fax_number": "937-323-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8960 LEAVITT RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440354208",
            "telephone_number": "440-986-2215",
            "fax_number": "440-986-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-OX HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "937-323-5764",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "11076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2742876",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark II Ent., LTD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.