Individual provider Active NPI

Sergey Voskovykh

  • Oxygen Equipment & Supplies (DME)
  • Aurora, CO
National Provider Identifier
1760688543
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Practice address
12083 E Harvard Ave # 1-204
Aurora, CO 80014-7636
Phone
(720) 427-1874
NPI assigned
Jun 26, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

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

Addresses

Primary practice location

12083 E Harvard Ave # 1-204
Aurora, CO 80014-7636

Mailing address

12083 E Harvard Ave # 1-204
Aurora, CO 80014-7636
Phone (720) 427-1874

Other identifiers 1

IdentifierTypeStateIssuer
76876527MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20-8269673COMDOxygen Equipment & Supplies (DME)

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760688543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12083 E HARVARD AVE # 1-204",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800147636",
            "telephone_number": "720-427-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12083 E HARVARD AVE # 1-204",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800147636",
            "telephone_number": "720-427-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSKOVYKH",
        "first_name": "SERGEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76876527",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.