Organization Active NPI

Suncoast Medical Oxygen, Inc.

Doing business as Praxair Healthcare Services

  • Durable Medical Equipment & Medical Supplies
  • Port Richey, FL
National Provider Identifier
1982636429
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUNCOAST MEDICAL OXYGEN, INC.
Doing business as
Praxair Healthcare Services
Practice address
8434 Afton LN
Port Richey, FL 34668-6765
Phone
(727) 843-9145
Fax
(409) 654-2068
NPI assigned
Jul 7, 2006
Reactivated
Mar 19, 2009
Last updated
Mar 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Scott Kaltrider
Title
President
Phone
(203) 837-2436

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Customized Equipment (DME) 332BC3200X NU
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU
Oxygen Equipment & Supplies (DME) 332BX2000X NU

Addresses

Primary practice location

8434 Afton LN
Port Richey, FL 34668-6765

Mailing address

203 E 6100 S
Salt Lake City, UT 84107-7302
Phone (801) 261-7139

Other identifiers 1

IdentifierTypeStateIssuer
910212400MedicaidFL

Other names 1

  • PRAXAIR HEALTHCARE SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

8434 Afton Ln
Port Richey, FL 34668
Phone (727) 843-9145

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1982636429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E 6100 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841077302",
            "telephone_number": "801-261-7139",
            "fax_number": "801-288-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8434 AFTON LN",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686765",
            "telephone_number": "727-843-9145",
            "fax_number": "409-654-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST MEDICAL OXYGEN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-03-19",
        "deactivation_date": "2009-01-15",
        "reactivation_date": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "KALTRIDER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-837-2436"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "910212400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRAXAIR HEALTHCARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.