Palmetto Oxygen, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

02098 Issued in NC

Legal business name

PALMETTO OXYGEN, LLC

Practice address

1906 Meeting CT
Wilmington, NC 28401-6631

Phone

(910) 491-4334

Fax

(910) 491-4334

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Luke McGee

Title

Ceo

Phone

(646) 880-0473

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1861828089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CORPORATE BLVD STE 402",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694600",
            "telephone_number": "803-926-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 MEETING CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016631",
            "telephone_number": "910-491-4334",
            "fax_number": "910-491-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO OXYGEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-880-0473"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NC",
            "license": "02098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BOARD OF PHARMACY",
            "identifier": "02098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randolph Scott Pallas Jr., DPT
• Pallavi Saraf, D.M.D., PLLC
• Mary Palmer
• Megan Palmer, RDN
• Palmetto Oxygen LLC
• Stanley Manuel Pamfilis
• Jennifer Ming Pan, DMD
• Jonathan Kris Pan, M.D.
• Panacea Adventures
• Angeline D Panagi

• Oxygen Equipment & Supplies (DME) in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Oxygen Equipment & Supplies (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.