Organization Active NPI

Oxygen Plus, Corp

  • Oxygen Equipment & Supplies (DME)
  • Chattanooga, TN
National Provider Identifier
1700074580
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0000001961 Issued in TN
Legal business name
OXYGEN PLUS, CORP
Practice address
3529 Brainerd Rd
Ste 2
Chattanooga, TN 37411-2770
Phone
(423) 624-4062
NPI assigned
Oct 5, 2007
Last updated
Oct 5, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
OXYGEN PLUS, CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Theresa Cissy McLean
Title
Ceo
Phone
(615) 320-1011

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0000001961 TN Primary
Mail Order Pharmacy 3336M0002X 3868 TN

Addresses

Primary practice location

3529 Brainerd Rd
Ste 2
Chattanooga, TN 37411-2770

Mailing address

3529 Brainerd Rd
Ste 2
Chattanooga, TN 37411-2770
Phone (423) 624-4062

Other identifiers 4

IdentifierTypeStateIssuer
10074830OtherTNAMERIGROUP
4057101OtherTNBCBS
A3735500OtherTNAMERICHOICE
1454268MedicaidTN

National Provider Directory

National Provider Directory
Part of
Oxygen Plus Corp

Locations

3529 Brainerd Rd
Ste 105
Chattanooga, TN 37411
Phone (423) 624-4062

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1700074580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 BRAINERD RD",
            "address_2": "STE 2",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374112770",
            "telephone_number": "423-624-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 BRAINERD RD",
            "address_2": "STE 2",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374112770",
            "telephone_number": "423-624-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXYGEN PLUS, CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OXYGEN PLUS, CORP",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "CISSY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-320-1011"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "0000001961",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "TN",
            "license": "3868",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10074830",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4057101",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "A3735500",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454268",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.