NPIMap

Organization Active NPI

Pamela Jean Elmer

  • Durable Medical Equipment & Medical Supplies
  • Oshkosh, WI
National Provider Identifier
1962670067
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PAMELA JEAN ELMER
Practice address
511 N Main St
Oshkosh, WI 54901-4908
Phone
(920) 235-1620
NPI assigned
Feb 12, 2008
Last updated
Oct 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Pamela Jean Elmer, CFMNPI 1568655082
Title
Owner
Phone
(920) 235-1620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WI Primary

Addresses

Primary practice location

511 N Main St
Oshkosh, WI 54901-4908

Mailing address

511 N Main St
Oshkosh, WI 54901-4908
Phone (920) 235-1620

National Provider Directory

National Provider Directory

Locations

511 N Main St
Oshkosh, WI 54901
Phone (920) 235-1620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1962670067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N MAIN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014908",
            "telephone_number": "920-235-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N MAIN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014908",
            "telephone_number": "920-235-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA JEAN ELMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "ELMER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-235-1620",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.