Specialized Oxygen Services, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0000000727 Issued in TN

Legal business name

SPECIALIZED OXYGEN SERVICES, LLC

Practice address

1008 Executive Dr
Suite 102
Hixson, TN 37343-3991

Phone

(423) 847-0031

Fax

(423) 847-0525

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Kimberly Deneise Standefer, RN, BSNPI 1992044762

Title

President (Co-Owner)

Phone

(423) 847-0031

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Specialized Oxygen Services, LLC

  • Oxygen Equipment & Supplies (DME)
  • Cleveland, TN
  • NPI 1154509214
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Standefer, FNP-BC

  • Family Nurse Practitioner
  • Fort Walton Beach, FL
  • NPI 1992044762
  NPD (past) Authorized official

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1427003201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373430965",
            "telephone_number": "423-847-0031",
            "fax_number": "423-847-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 EXECUTIVE DR",
            "address_2": "SUITE 102",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433991",
            "telephone_number": "423-847-0031",
            "fax_number": "423-847-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALIZED OXYGEN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "STANDEFER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DENEISE",
        "authorized_official_title_or_position": "PRESIDENT (CO-OWNER)",
        "authorized_official_telephone_number": "423-847-0031",
        "authorized_official_credential": "RN, BS"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "0000000727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PROVIDER # GAMCAID",
            "identifier": "000974366A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454230",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME PROVIDER # BC/BS",
            "identifier": "4049414",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeastern Dental Associates of Hixson
• Southeastern Retina Associates, P.C.
• Southern Eyecare Associates Inc
• Lauren Taylor Souza, PA-C, DMS, MSW
• Amanda Yvette Sovago-Royal, LMT
• Owen F Speer, DO
• Neil Howard Spitalny, M.D.
• Rebecca Spivey, PMHNP-BC
• Sarah Spurling, RN, IBCLC
• Stained Glass Collective, PLLC.

• All providers in Hixson, TN
• Oxygen Equipment & Supplies (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.