Active NPI
Cardiosom, LLC
Doing business as CardioSom of Cincinnati
- Oxygen Equipment & Supplies (DME)
- West Chester, OH
National Provider Identifier
1962559419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- HMEL 11245
- Legal business name
- CARDIOSOM, LLC
- Doing business as
- CardioSom of Cincinnati
- Practice address
- 7616 Cox LN
West Chester, OH 45069-6547 - Phone
- (513) 755-9081
- Fax
- (800) 868-1908
- NPI assigned
- Jan 5, 2007
- Last updated
- Aug 10, 2010
- 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
- Mr. Jay Jarrell
- Title
- President/Coo
- Phone
- (317) 706-1080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | HMEL 11245 | OH | Primary |
Addresses
Primary practice location
7616 Cox LN
West Chester, OH 45069-6547
Mailing address
615 W. Carmel Dr.
Suite 100
Carmel, IN 46032-5504
Phone (317) 706-1080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HMEL 11245 | Other | OH | STATE HME LICENSE |
Other names 1
- CardioSom of Cincinnati
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba CardioSom
- Durable Medical Equipment & Medical Supplies
- San Diego, CA
- NPI 1568546323
Member Of
Locations
7616 Cox Ln
West Chester, OH 45069
Phone (513) 755-9081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281398400000",
"number": "1962559419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 W. CARMEL DR.",
"address_2": "SUITE 100",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325504",
"telephone_number": "317-706-1080",
"fax_number": "317-574-8674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7616 COX LN",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450696547",
"telephone_number": "513-755-9081",
"fax_number": "800-868-1908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOSOM, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2010-08-10",
"status": "A",
"authorized_official_last_name": "JARRELL",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "PRESIDENT/COO",
"authorized_official_telephone_number": "317-706-1080",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "OH",
"license": "HMEL 11245",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE HME LICENSE",
"identifier": "HMEL 11245",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CardioSom of Cincinnati",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.