Active NPI
Oxygen Plus, Corp
- Oxygen Equipment & Supplies (DME)
- Clarksville, TN
National Provider Identifier
1730330978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10074830 | Other | TN | AMERIGROUP |
| 1454268 | Medicaid | TN | |
| A3735500 | Other | TN | AMERICHOICE |
| 4057101 | Other | TN | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.