Oxygen Plus, Corp

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0000001961 Issued in TN

Legal business name

OXYGEN PLUS, CORP

Practice address

307 Betsy Pack Dr
Jasper, TN 37347-3317

Phone

(423) 742-0711

NPI assigned

Oct 5, 2007

Last updated

Jan 21, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

OXYGEN PLUS, CORPAs reported in NPPES

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

Authorized official

Name

Theresa C McLean

Title

Ceo

Phone

(615) 320-1011

Specialties & licenses 2

Addresses

Other identifiers 4

Part of

Oxygen Plus Corp

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1891983672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BETSY PACK DR",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473317",
            "telephone_number": "423-742-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BETSY PACK DR",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473317",
            "telephone_number": "423-742-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXYGEN PLUS, CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OXYGEN PLUS, CORP",
        "enumeration_date": "2007-10-05",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-320-1011"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "0000001961",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "TN",
            "license": "3868",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "A3735500",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4057101",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454268",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10074830",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Jasper, TN
• Providers in Jasper, TN by specialty
• Oxygen Equipment & Supplies (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.