Organization Active NPI

Long Term Medical Equipment and Supplies

  • Oxygen Equipment & Supplies (DME)
  • Austin, TX
National Provider Identifier
1992768717
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0070596 Issued in TX
Legal business name
LONG TERM MEDICAL EQUIPMENT AND SUPPLIES
Practice address
111 W Anderson LN
D 206
Austin, TX 78752-1132
Phone
(512) 374-9080
Fax
(512) 374-0053
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Authorized official

Name
Emmanuel Iroanya
Title
Owner
Phone
(512) 374-9080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0070596 TX
Oxygen Equipment & Supplies (DME) 332BX2000X 0070596 TX Primary

Addresses

Primary practice location

111 W Anderson LN
D 206
Austin, TX 78752-1132

Mailing address

111 W Anderson LN
D 206
Austin, TX 78752-1132
Phone (512) 374-9080

Other identifiers 3

IdentifierTypeStateIssuer
531697OtherTXBLUE CROSS BLUE SHIELD
168047202MedicaidTX
168047201MedicaidTX

National Provider Directory

National Provider Directory

Locations

111 W Anderson Ln
Ste D206
Austin, TX 78752
Phone (512) 374-9080

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1992768717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W ANDERSON LN",
            "address_2": "D 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521132",
            "telephone_number": "512-374-9080",
            "fax_number": "512-374-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W ANDERSON LN",
            "address_2": "D 206",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521132",
            "telephone_number": "512-374-9080",
            "fax_number": "512-374-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TERM MEDICAL EQUIPMENT AND SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "IROANYA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-374-9080"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0070596",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0070596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "531697",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168047202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168047201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.