O C Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0078297 Issued in TX

Legal business name

O C MEDICAL SUPPLY INC

Practice address

7017 Wandering Oak Rd
Austin, TX 78749-1894

Phone

(512) 301-5591

NPI assigned

Jun 21, 2006

Organization subpart

No

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

Authorized official

Name

Douglas Ellis

Title

President

Phone

(512) 301-5591

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770529679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90844",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787090844",
            "telephone_number": "512-301-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7017 WANDERING OAK RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491894",
            "telephone_number": "512-301-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O C MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-301-5591"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0078297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milka Moraa Nyandusi, FNP-C
• Kepha Siriba Nyangweso
• Michael Nyawir, RN
• Brendon William Nylen, PHD, BCBA, LBA
• Emily Nyman, MSN, APRN, FNP-C
• Gabrielle Ann O Gallardo, APRN PMHNP-BC
• O. B. Jackson, Jr.,MD, PA
• Barbara A O'Brien, M.A.
• Juliana Helen O'Brien, LCSW
• Marcia Lea O'Brien, MSN, APRN, NP-C

• Durable Medical Equipment & Medical Supplies in Austin, TX
• Providers in Austin, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.