Professional Oxygen Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROFESSIONAL OXYGEN SUPPLY INC.

Practice address

417 W Buffalo St
Rawlins, WY 82301-5621

Phone

(307) 328-1357

NPI assigned

Jul 7, 2005

Last updated

Jan 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clark McInroy

Title

Ceo

Phone

(307) 632-4147

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

These 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

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1215934161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E CARLSON ST STE 101",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094271",
            "telephone_number": "307-632-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W BUFFALO ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015621",
            "telephone_number": "307-328-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OXYGEN SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "MCINROY",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "307-632-4147"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106001500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Aaron Pont, LMFT, LPC
• George Henry Postlethwaite, D.C.
• Ricardo Prado
• Praxis Wellness
• Premium Health at Home Rawlins LLC
• Professional Oxygen Supply Inc.
• Professional Pharmacy Inc (Bi Rite Pharmacy)
• Jared Pulliam
• Purple Sage Tele-Home Health LLC
• Rawlins Family Medical, PC

• Durable Medical Equipment & Medical Supplies in Rawlins, WY
• Providers in Rawlins, WY by specialty
• Durable Medical Equipment & Medical Supplies in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.

Verify at the official NPI Registry.