NPIMap

Organization Active NPI

Detroit Oxygen & Medical Equipment Co.

  • Durable Medical Equipment & Medical Supplies
  • Warren, MI
National Provider Identifier
1669455176
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
BME-0104426 Issued in MI
Legal business name
DETROIT OXYGEN & MEDICAL EQUIPMENT CO.
Practice address
24560 Forterra Dr
Warren, MI 48089-4371
Phone
(586) 756-1400
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Ms. Julie Marie Johnson
Title
Chief Operating Officer
Phone
(586) 756-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X BME-0104426 MI Primary

Addresses

Primary practice location

24560 Forterra Dr
Warren, MI 48089-4371

Mailing address

24560 Forterra Dr
Warren, MI 48089-4371
Phone (586) 756-1400

Other identifiers 3

IdentifierTypeStateIssuer
236008OtherMINCPDP
1702616MedicaidMI
5301005160OtherMIPHARMACY LICENSE

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

24560 Forterra Dr
Warren, MI 48089
Phone (586) 756-1400

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1669455176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24560 FORTERRA DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480894371",
            "telephone_number": "586-756-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24560 FORTERRA DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480894371",
            "telephone_number": "586-756-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT OXYGEN & MEDICAL EQUIPMENT CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "586-756-1400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "BME-0104426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "236008",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1702616",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "5301005160",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.