Organization Active NPI

Oxygen Plus, Corp

  • Oxygen Equipment & Supplies (DME)
  • Clarksville, TN
National Provider Identifier
1730330978
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
OXYGEN PLUS, CORP
Practice address
2150 Wilma Rudolph Blvd
Suite 4
Clarksville, TN 37040-6675
Phone
(931) 552-2690
Fax
(931) 552-3394
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Theresa Cissy McLean, RN
Title
Ceo
Phone
(615) 416-1510

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 106910 TN
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 00743 TN
Oxygen Equipment & Supplies (DME) 332BX2000X TN Primary

Addresses

Primary practice location

2150 Wilma Rudolph Blvd
Suite 4
Clarksville, TN 37040-6675

Mailing address

900 McArthur Street
Manchester, TN 37355
Phone (931) 728-4010

Other identifiers 4

IdentifierTypeStateIssuer
10074830OtherTNAMERIGROUP
1454268MedicaidTN
A3735500OtherTNAMERICHOICE
4057101OtherTNBCBS

National Provider Directory

National Provider Directory

Locations

2150 Wilma Rudolph Blvd
Ste 4
Clarksville, TN 37040
Phone (931) 552-2690

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1730330978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MCARTHUR STREET",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "37355",
            "telephone_number": "931-728-4010",
            "fax_number": "931-728-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 WILMA RUDOLPH BLVD",
            "address_2": "SUITE 4",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406675",
            "telephone_number": "931-552-2690",
            "fax_number": "931-552-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXYGEN PLUS, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2010-06-18",
        "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": "615-416-1510",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TN",
            "license": "106910",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TN",
            "license": "00743",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10074830",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454268",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "A3735500",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4057101",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.