Organization Active NPI

Med-Ox Home Medical

  • Durable Medical Equipment & Medical Supplies
  • Chillicothe, OH
National Provider Identifier
1902908114
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
11065 Issued in OH
Legal business name
MED-OX HOME MEDICAL
Practice address
95 N Bridge St
Chillicothe, OH 45601-2616
Phone
(740) 772-5764
Fax
(740) 773-3046
NPI assigned
Sep 1, 2006
Last updated
Aug 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Mr. Mark A Smith
Title
Managing Member
Phone
(937) 323-5764

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 11065 OH Primary
Oxygen Equipment & Supplies (DME) 332BX2000X HMEL11065 OH

Addresses

Primary practice location

95 N Bridge St
Chillicothe, OH 45601-2616

Mailing address

4867 Urbana Rd
Springfield, OH 45502-9503
Phone (937) 323-5764

Other identifiers 1

IdentifierTypeStateIssuer
2742803MedicaidOH

Other names 1

  • Mark II Ent., LTD Other name

National Provider Directory

National Provider Directory

Locations

8960 Leavitt Rd
Elyria, OH 44035
Phone (440) 986-2215

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1902908114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4867 URBANA RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455029503",
            "telephone_number": "937-323-5764",
            "fax_number": "937-323-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 N BRIDGE ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012616",
            "telephone_number": "740-772-5764",
            "fax_number": "740-773-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-OX HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "937-323-5764",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "11065",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "HMEL11065",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2742803",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark II Ent., LTD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.