Oxygen, Respiratory & Medical Equip, Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

9584 Issued in MN

Legal business name

OXYGEN, RESPIRATORY & MEDICAL EQUIP, INC

Doing business as

Diabetic and Comfort Shoes

Practice address

102 E Central Entrance
Suite 4
Duluth, MN 55811-5569

Phone

(218) 625-2095

Fax

(218) 625-2096

NPI assigned

Jun 27, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Carie Lee Harris, C. PEDORTHIST

Title

President

Phone

(218) 625-2095

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Diabetic and Comfort Shoes Doing business as

Locations

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1588660252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E CENTRAL ENTRANCE",
            "address_2": "SUITE 4",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558115569",
            "telephone_number": "218-625-2095",
            "fax_number": "218-625-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E CENTRAL ENTRANCE",
            "address_2": "SUITE 4",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558115569",
            "telephone_number": "218-625-2095",
            "fax_number": "218-625-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXYGEN, RESPIRATORY & MEDICAL EQUIP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CARIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-625-2095",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C. PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MN",
            "license": "9584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365414100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41725300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE OF MINNESOTA",
            "identifier": "170641",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "82-00304",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1049253",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "93649",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "57S00DI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetic and Comfort Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Duluth, MN
• Providers in Duluth, MN by specialty
• Customized Equipment (DME) in Minnesota

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