NPIMap

Organization Active NPI

Jggpo Corporation

  • Oxygen Equipment & Supplies (DME)
  • El Paso, TX
National Provider Identifier
1912924788
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
JGGPO CORPORATION
Practice address
7806 Gateway Blvd E
Ste 101
El Paso, TX 79915-1800
Phone
(915) 566-6600
Fax
(915) 566-7682
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Mr. Darren Anthony Pratt
Title
Chief Operating Officer
Phone
(915) 566-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

7806 Gateway Blvd E
Ste 101
El Paso, TX 79915-1800

Mailing address

7806 Gateway Blvd E
Ste 100
El Paso, TX 79915-1800
Phone (915) 566-6600

Other identifiers 2

IdentifierTypeStateIssuer
200103402MedicaidTX
200103401MedicaidTX

Other names 1

  • Mercury Medical Equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930010703 TX DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 5799730917 Practice locations: El Paso, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

7806 Gateway Blvd E
Ste 101
El Paso, TX 79915
Phone (915) 566-6600

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1912924788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7806 GATEWAY BLVD E",
            "address_2": "STE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151800",
            "telephone_number": "915-566-6600",
            "fax_number": "915-566-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7806 GATEWAY BLVD E",
            "address_2": "STE 101",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799151800",
            "telephone_number": "915-566-6600",
            "fax_number": "915-566-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JGGPO CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "915-566-6600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200103402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200103401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercury Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.