NPIMap

Organization Active NPI

Professionals PRN LLC

Doing business as Northside Oxygen & Medical Equipement Cambridge

  • Oxygen Equipment & Supplies (DME)
  • Cambridge, OH
National Provider Identifier
1780622258
Registry record updated Apr 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
021364250 Issued in OH
Legal business name
PROFESSIONALS PRN LLC
Doing business as
Northside Oxygen & Medical Equipement Cambridge
Practice address
61353 Southgate Rd
Suite 2
Cambridge, OH 43725-6607
Phone
(740) 435-9393
Fax
(740) 435-0899
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2021

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

Authorized official

Name
Edward Jay Stoepfel
Title
Director
Phone
(740) 454-5666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 021364250 OH Primary

Addresses

Primary practice location

61353 Southgate Rd
Suite 2
Cambridge, OH 43725-6607

Mailing address

133 N Maysville Ave
Zanesville, OH 43701-6112
Phone (740) 454-5666

Other identifiers 1

IdentifierTypeStateIssuer
2380767MedicaidOH

Other names 1

  • Northside Oxygen & Medical Equipement Cambridge Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619308800000",
    "number": "1780622258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 N MAYSVILLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437016112",
            "telephone_number": "740-454-5666",
            "fax_number": "740-452-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61353 SOUTHGATE RD",
            "address_2": "SUITE 2",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437256607",
            "telephone_number": "740-435-9393",
            "fax_number": "740-435-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONALS PRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2021-04-25",
        "certification_date": "2021-04-25",
        "status": "A",
        "authorized_official_last_name": "STOEPFEL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "740-454-5666"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "021364250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2380767",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Oxygen & Medical Equipement Cambridge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northside Oxygen & Medical Equipement Cambridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2021; 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.