Active NPI
Mobility Plus LLC
- Oxygen Equipment & Supplies (DME)
- Tahlequah, OK
National Provider Identifier
1881623726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- MOBILITY PLUS LLC
- Practice address
- 1211 S Parkhill Rd
Tahlequah, OK 74464-5235 - Phone
- (918) 453-1177
- Fax
- (918) 453-1194
- NPI assigned
- Jul 2, 2006
- Last updated
- Apr 28, 2011
- 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
- Scott A Knowles
- Title
- Executive General Manager
- Phone
- (918) 384-6779
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | NU | Primary |
Addresses
Primary practice location
1211 S Parkhill Rd
Tahlequah, OK 74464-5235
Mailing address
1601 N Main St
Muskogee, OK 74401-4451
Phone (918) 686-0218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100634600G | Medicaid | OK |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Freeland Brown Pharmacy
- Community/Retail Pharmacy
- Tulsa, OK
- NPI 1710910237
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303948800000",
"number": "1881623726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 N MAIN ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744014451",
"telephone_number": "918-686-0218",
"fax_number": "918-684-7276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 S PARKHILL RD",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744645235",
"telephone_number": "918-453-1177",
"fax_number": "918-453-1194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILITY PLUS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2011-04-28",
"status": "A",
"authorized_official_last_name": "KNOWLES",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE GENERAL MANAGER",
"authorized_official_telephone_number": "918-384-6779"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100634600G",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.