Erickson Home Medical Equipment LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

92-48 Issued in WI

Legal business name

ERICKSON HOME MEDICAL EQUIPMENT LLC

Practice address

325 N Sawyer St
Oshkosh, WI 54902-4252

Phone

(715) 823-2106

Fax

(715) 823-1322

NPI assigned

Jul 30, 2018

Organization subpart

No

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

Authorized official

Name

Diane Collier

Title

Owner/President

Phone

(715) 823-2106

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1306324694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MAIN ST",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291565",
            "telephone_number": "715-823-2106",
            "fax_number": "715-823-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N SAWYER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024252",
            "telephone_number": "715-823-2106",
            "fax_number": "715-823-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICKSON HOME MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "715-823-2106"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WI",
            "license": "92-48",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41566800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Physical Therapy and Rehab Specialists
• Pamela Jean Elmer
• Amber N Elvert, CSAC
• Dorothea M Epple, MSW
• Eric Koehler LLC
• Audrey Koampah Essien, DNP, FNP-BC
• Mark R Evans, PA-C
• James Douglas Evansen
• Evergreen Retirement Community, Inc.
• Evergreen Retirement Community, Inc.

• Oxygen Equipment & Supplies (DME) in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Oxygen Equipment & Supplies (DME) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.