NPIMap

Organization Active NPI

Professionals PRN LLC

  • Oxygen Equipment & Supplies (DME)
  • Somerset, OH
National Provider Identifier
1982647954
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
021273150 Issued in OH
Legal business name
PROFESSIONALS PRN LLC
Doing business as
Northside Oxygen & Medical Equipment Perry County
Practice address
301 Dr. Mike Clouse Drive
Somerset, OH 43783
Phone
(740) 743-1590
Fax
(740) 743-2579
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Mr. Rod B Stickrath, RPH
Title
Director
Phone
(740) 454-5666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 021273150 OH Primary

Addresses

Primary practice location

301 Dr. Mike Clouse Drive
Somerset, OH 43783

Mailing address

1132 Taylor St
Zanesville, OH 43701-2658
Phone (740) 454-5666

Other identifiers 1

IdentifierTypeStateIssuer
2380749MedicaidOH

Other names 1

  • Northside Oxygen & Medical Equipment Perry County Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

61353 Southgate Rd
Ste 2
Cambridge, OH 43725
Phone (740) 435-9393

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1982647954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 TAYLOR ST",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012658",
            "telephone_number": "740-454-5666",
            "fax_number": "740-452-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DR. MIKE CLOUSE DRIVE",
            "city": "SOMERSET",
            "state": "OH",
            "postal_code": "43783",
            "telephone_number": "740-743-1590",
            "fax_number": "740-743-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONALS PRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "STICKRATH",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "740-454-5666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "OH",
            "license": "021273150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2380749",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northside Oxygen & Medical Equipment Perry County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.