Organization Active NPI

Medical Park Homecare Inc

Doing business as Select HME

  • Oxygen Equipment & Supplies (DME)
  • Bartlesville, OK
National Provider Identifier
1871693697
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Mr. Michael Brent Moore, RPDNPI 1720122336
Title
President and Owner
Phone
(918) 335-6688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 9-D-777 OK Primary

Addresses

Primary practice location

139 SE Katherine Ave
Bartlesville, OK 74006-2316

Mailing address

139 SE Katherine Ave
Bartlesville, OK 74006-2316
Phone (918) 335-6688

Other names 1

  • Select HME Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

  • 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.