Medical Park Homecare Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

9-D-777 Issued in OK

Legal business name

MEDICAL PARK HOMECARE INC

Doing business as

Select HME

Practice address

139 SE Katherine Ave
Bartlesville, OK 74006-2316

Phone

(918) 335-6688

Fax

(918) 335-9787

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Brent Moore, RPD

Title

President and Owner

Phone

(918) 335-6688

Specialties & licenses 1

Addresses

Other names 1

• Select HME Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Ann Tibbets, CRT

  • Certified Respiratory Therapist
  • Bartlesville, OK
  • NPI 1578608626
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1871693697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 SE KATHERINE AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062316",
            "telephone_number": "918-335-6688",
            "fax_number": "918-335-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 SE KATHERINE AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062316",
            "telephone_number": "918-335-6688",
            "fax_number": "918-335-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARK HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "918-335-6688",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPD"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OK",
            "license": "9-D-777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select HME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor McKinney
• Leandra McNeall
• Paul Wilson McQuillen Jr., M.D.
• Mylissa Genevra McWhorter
• Medical Park Center Pharmacy Inc
• Medwise LLC
• Diana K. Meek, RD/LD
• Anderson P Mehrle, MD
• Regina M Mellen, CRNA
• Men'S Vascular Performance Clinic, LLC

• Oxygen Equipment & Supplies (DME) in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Oxygen Equipment & Supplies (DME) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.