Oxy-Med, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

13602012 Issued in MO

Legal business name

OXY-MED, INC.

Practice address

26146 US Hwy 59
Fairfax, MO 64446-0237

Phone

(660) 686-2405

Fax

(660) 686-2670

NPI assigned

Nov 29, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Keith Harold Nemyer, C.R.T.T.

Title

President

Phone

(660) 686-2405

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821165325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644460237",
            "telephone_number": "660-686-2405",
            "fax_number": "660-686-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26146 US HWY 59",
            "city": "FAIRFAX",
            "state": "MO",
            "postal_code": "644460237",
            "telephone_number": "660-686-2405",
            "fax_number": "660-686-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXY-MED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEMYER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-686-2405",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.R.T.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "13602012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MISSOURI",
            "identifier": "156350",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9162620",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMBINED INS COMPANY",
            "identifier": "336064",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0950931",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KANSAS CITY",
            "identifier": "14188017",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED AMERICAN INS CO",
            "identifier": "D0229930001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Sue Masonbrink, FNP
• Mina K Massey, M.D.
• Summer R Masters, NP
• Kelly Osborn, CRNA
• Tracy Lynn Oswald
• Megan M Roberts, FNP
• Christina Marie Samaritoni, FNP
• David Leon Scarbrough, D.D.S.
• Jay Stanton
• Kelsie Mae Tjelmeland

• Durable Medical Equipment & Medical Supplies in Fairfax, MO
• Providers in Fairfax, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• 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.