Semo Medical Equipment LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SEMO MEDICAL EQUIPMENT LLC

Doing business as

Mitchell Oxygen

Practice address

812 Lester St
Kennett, MO 63857-1615

Phone

(573) 888-1773

Fax

(573) 888-2105

NPI assigned

Nov 9, 2006

Organization subpart

Yes

Parent organization

SEMO MEDICAL EQUIPMENT LLCAs reported in NPPES

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

Authorized official

Name

Becky Christian

Title

Owner

Phone

(573) 888-6600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MITCHELL OXYGEN Doing business as

Tax ID family

Semo Medical Equipment LLC2 organizations share this tax ID, including this one

Part of

Semo Medical Equipment LLC

Other organizations with this tax ID 1

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

• Semo Medical Equipment LLC

  • Oxygen Equipment & Supplies (DME)
  • Cape Girardeau, MO
  • NPI 1114008729
  NPD tax ID

Locations

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1346310117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 LESTER ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638571615",
            "telephone_number": "573-888-1773",
            "fax_number": "573-888-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 LESTER ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638571615",
            "telephone_number": "573-888-1773",
            "fax_number": "573-888-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMO MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEMO MEDICAL EQUIPMENT LLC",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-888-6600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "626314306",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MITCHELL OXYGEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ethan Matthew Seats
• Marissa Jeree Sebastian, BS,BA,CC
• Jennifer R Sellman, D.O.
• Semo Drug of Kennett
• Semo Drugs of Kennett Inc (Semo Drugs of Kennett)
• Karl Erik Shanstrom, DO
• Wesley Kyle Shatley
• Heather Ann Shaver
• Linda Shaver
• Tanner Reed Shaver

• Durable Medical Equipment & Medical Supplies in Kennett, MO
• Providers in Kennett, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.