NPIMap

Organization Active NPI

James Devane Anderson

  • Oxygen Equipment & Supplies (DME)
  • Opp, AL
National Provider Identifier
1720008063
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
JAMES DEVANE ANDERSON
Practice address
101 W Covington Ave
B
Opp, AL 36467-2032
Phone
(334) 493-7081
Fax
(334) 493-1525
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Mr. James Devane Anderson, RRTNPI 1386093870
Title
Owner
Phone
(334) 493-7081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

101 W Covington Ave
B
Opp, AL 36467-2032

Mailing address

PO Box 375
Opp, AL 36467-0375
Phone (334) 493-7081

Other identifiers 2

IdentifierTypeStateIssuer
51032703OtherALBCBS OF AL
009809650MedicaidAL

Other names 1

  • Andersons Home Oxygen & Supply Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930015654 AL DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 7315068210 Practice locations: Opp, AL

National Provider Directory

National Provider Directory

Locations

101 W Covington Ave
#B
Opp, AL 36467
Phone (334) 493-7081

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1720008063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 375",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364670375",
            "telephone_number": "334-493-7081",
            "fax_number": "334-493-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W COVINGTON AVE",
            "address_2": "B",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364672032",
            "telephone_number": "334-493-7081",
            "fax_number": "334-493-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES DEVANE ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DEVANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-493-7081",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51032703",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009809650",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andersons Home Oxygen & Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Opp, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.