Organization Active NPI

Medic-Aire of Tahlequah, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Tahlequah, OK
National Provider Identifier
1720175292
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
N/A Issued in OK
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

Updated by the provider on Apr 1, 2008

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)CodeLicenseStatePrimary
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 Directory

Ownership & 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.

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.

Verify at the official NPI Registry.