Roadrunner Oxygen Service, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

07-684101-J Issued in AZ

Legal business name

ROADRUNNER OXYGEN SERVICE, INC.

Practice address

5234 W Missouri Ave
Glendale, AZ 85301-6004

Phone

(623) 842-6020

Fax

(623) 842-6021

NPI assigned

Nov 8, 2005

Organization subpart

No

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

Authorized official

Name

Jodi Rae Blow

Title

Vice President

Phone

(623) 842-6020

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598746380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5234 W MISSOURI AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016004",
            "telephone_number": "623-842-6020",
            "fax_number": "623-842-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5234 W MISSOURI AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853016004",
            "telephone_number": "623-842-6020",
            "fax_number": "623-842-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADRUNNER OXYGEN SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOW",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "623-842-6020"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AZ",
            "license": "07-684101-J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "794257",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0279240",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Riveron Perez
• Monique Michelle Rivers, DBH, MSN, RN
• Shuaa Ali Rizvi
• RJS Healthcare LLC
• Roadrunner Medical Transportation Service
• Audra Robbins
• Riley Robbins
• Betsy Robello, LMT
• Idris Roberson
• Robert a. Block PHD PC (azny psychological services)

• Oxygen Equipment & Supplies (DME) in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Oxygen Equipment & Supplies (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.