Active NPI
Ventilateok LLC
- Durable Medical Equipment & Medical Supplies
- Oklahoma City, OK
National Provider Identifier
1801374822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- VENTILATEOK LLC
- Practice address
- 4401 NW 4TH St Ste 133
Oklahoma City, OK 73107-6540 - Phone
- (405) 922-9020
- NPI assigned
- Aug 1, 2018
- Last updated
- Apr 3, 2020
- 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
- Mr. Aaron Nathaniel Wylie
- Title
- Owner/Ceo
- Phone
- (405) 604-6999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
4401 NW 4TH St Ste 133
Oklahoma City, OK 73107-6540
Mailing address
4401 NW 4TH St Ste 133
Oklahoma City, OK 73107-6540
Phone (405) 922-9020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190415000858 | OK | DME Supplier - Medical Supply Company With Respiratory Therapist | 4486995743 | Practice locations: Oklahoma City, OK |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Ventilateok | Tracheotomy Supplies|Continuous Positive Airway Pressure (CPAP) Devices|High Freq Chest Wall Oscillation Devices/Supplies|Mechanical In-Exsufflation Devices|Nebulizer Equipment and/or Supplies|Respiratory Assist Devices|Respiratory Suction Pumps|Surgical Dressings | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Ventilateok LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Lawton, OK
- NPI 1225909153
Locations
4401 NW 4th St
Ste 133
Oklahoma City, OK 73107
Phone (405) 604-6999
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Durable Medical Equipment & Medical Supplies
- Lawton, OK
- NPI 1225909153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585872000000",
"number": "1801374822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 NW 4TH ST STE 133",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731076540",
"telephone_number": "405-922-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 NW 4TH ST STE 133",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731076540",
"telephone_number": "405-922-9020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VENTILATEOK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-01",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A",
"authorized_official_last_name": "WYLIE",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "NATHANIEL",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "405-604-6999",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.