Oxycare Medical Supply Company

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000429 Issued in IL

Legal business name

OXYCARE MEDICAL SUPPLY COMPANY

Practice address

2725 S Belt W
Belleville, IL 62226-6777

Phone

(618) 234-0202

Fax

(618) 234-2209

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Jim Wimmerstedt

Title

President

Phone

(618) 234-0202

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1205928843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 S BELT W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622266777",
            "telephone_number": "618-234-0202",
            "fax_number": "618-234-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S BELT W",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622266777",
            "telephone_number": "618-234-0202",
            "fax_number": "618-234-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXYCARE MEDICAL SUPPLY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "WIMMERSTEDT",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-234-0202"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000429",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "IL",
            "license": "203000429",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "IL",
            "license": "203000429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08232154",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olufemi Edward Osikoya, MD
• Krystal Marie Oswald, BCBA, LSW
• Joy Overman, OT
• Janna Marie Owens, M.A., CCC-SLP
• Samantha Danielle Owens
• Rhonda G Ozanian, PH.D.
• Tracy Pacini
• Kelly Page, PA
• Vasantha P Pai, M.D
• Erik D Painter

• Durable Medical Equipment & Medical Supplies in Belleville, IL
• Providers in Belleville, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.