NPIMap

Organization Active NPI

Cardiosom, LLC

  • Oxygen Equipment & Supplies (DME)
  • Whitehall, OH
National Provider Identifier
1336273655
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
02-1701450 Issued in OH
Legal business name
CARDIOSOM, LLC
Practice address
5150 E Main St
Suite 105
Whitehall, OH 43213-2441
Phone
(614) 861-8240
Fax
(614) 861-8260
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Mr. Jay Jarrell
Title
President/Coo
Phone
(317) 706-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 02-1701450 OH Primary

Addresses

Primary practice location

5150 E Main St
Suite 105
Whitehall, OH 43213-2441

Mailing address

615 W. Carmel Dr.
Suite 100
Carmel, IN 46032-5504
Phone (317) 706-1080

Other names 1

  • CardioSom of Whitehall Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardiosom LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1336273655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W. CARMEL DR.",
            "address_2": "SUITE 100",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325504",
            "telephone_number": "317-706-1080",
            "fax_number": "317-574-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E MAIN ST",
            "address_2": "SUITE 105",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432132441",
            "telephone_number": "614-861-8240",
            "fax_number": "614-861-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOSOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "JARRELL",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "317-706-1080",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "02-1701450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CardioSom of Whitehall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitehall, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.