Active NPI
Medic-Aire of Tahlequah, Inc.
- Oxygen Equipment & Supplies (DME)
- Tahlequah, OK
National Provider Identifier
1720175292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- N/A
- Legal business name
- MEDIC-AIRE OF TAHLEQUAH, INC.
- Practice address
- 17900 Muskogee Avenue
Tahlequah, OK 74464-5494 - Phone
- (918) 453-9991
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jon T. Hiseley
- Title
- President and Ceo
- Phone
- (918) 453-9991
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | N/A | OK | Primary |
Addresses
Primary practice location
17900 Muskogee Avenue
Tahlequah, OK 74464-5494
Mailing address
17900 S Muskogee Ave
Tahlequah, OK 74464-5494
Phone (918) 453-9991
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- Tulsa, OK
- NPI 1376678508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207008000000",
"number": "1720175292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17900 S MUSKOGEE AVE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744645494",
"telephone_number": "918-453-9991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17900 MUSKOGEE AVENUE",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744645494",
"telephone_number": "918-453-9991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIC-AIRE OF TAHLEQUAH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2008-04-01",
"status": "A",
"authorized_official_last_name": "HISELEY",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "918-453-9991",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "OK",
"license": "N/A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.