Active NPI
Oxygen Plus, Corp
- Oxygen Equipment & Supplies (DME)
- Chattanooga, TN
National Provider Identifier
1700074580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 0000001961
- 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, 2007
- Organization subpart
- Yes
- Parent organization
- OXYGEN PLUS, CORP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10074830 | Other | TN | AMERIGROUP |
| 4057101 | Other | TN | BCBS |
| A3735500 | Other | TN | AMERICHOICE |
| 1454268 | Medicaid | TN |
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.