Medic-Aire of Tahlequah, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDIC-AIRE OF TAHLEQUAH, INC.

Practice address

5059 S Yale Ave
Tulsa, OK 74135-7010

Phone

(918) 270-1941

Fax

(918) 270-1961

NPI assigned

Feb 21, 2007

Organization subpart

Yes

Parent organization

MEDIC-AIRE OF TAHLEQUAH, INC.As reported in NPPES

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

Authorized official

Name

Mr. Jon T Hiseley

Title

Pres/Ceo

Phone

(918) 453-9991

Specialties & licenses 1

Addresses

Other names 1

• Medic-Aire of Tulsa Doing business as

Part of

Medic-Aire of Tahlequah Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medic-Aire of Tahlequah, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Tahlequah, OK
  • NPI 1720175292
  NPPES parent name

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1376678508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17900 S MUSKOGEE AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645494",
            "telephone_number": "918-453-9991",
            "fax_number": "918-207-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5059 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741357010",
            "telephone_number": "918-270-1941",
            "fax_number": "918-270-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC-AIRE OF TAHLEQUAH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDIC-AIRE OF TAHLEQUAH, INC.",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "HISELEY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "918-453-9991",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medic-Aire of Tulsa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• David Medina

• Durable Medical Equipment & Medical Supplies in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.