Organization Active NPI

Seeley Medical Oxygen Co of Andover

  • Oxygen Equipment & Supplies (DME)
  • Andover, OH
National Provider Identifier
1346248341
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SEELEY MEDICAL OXYGEN CO OF ANDOVER
Practice address
104 Parker Dr
Andover, OH 44003-9481
Phone
(440) 293-6600
Fax
(440) 293-7394
NPI assigned
Jul 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Mrs. Miranda Rougeou
Title
Financial Operations/Controller
Phone
(440) 293-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

104 Parker Dr
Andover, OH 44003-9481

Mailing address

104 Parker Dr
Andover, OH 44003-9481
Phone (440) 293-6600

Other names 1

  • Seeley Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930014108 OH DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 9537287644 Practice locations: Andover, OH

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Seeley Medical4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

1160 George Washington Blvd
Akron, OH 44312
Phone (877) 733-5395

7515 W Ridge Rd
Elyria, OH 44035
Phone (440) 324-1275

590 E Western Reserve Rd
Youngstown, OH 44514
Phone (330) 726-0202

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1346248341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PARKER DR",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039481",
            "telephone_number": "440-293-6600",
            "fax_number": "440-293-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARKER DR",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039481",
            "telephone_number": "440-293-6600",
            "fax_number": "440-293-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEELEY MEDICAL OXYGEN CO OF ANDOVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "ROUGEOU",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "FINANCIAL OPERATIONS/CONTROLLER",
        "authorized_official_telephone_number": "440-293-6600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seeley Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Andover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.