Cardiosom, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

CARDIOSOM, LLC

Practice address

111 Troy St
Suite C
Tupelo, MS 38804

Phone

(800) 868-1920

Fax

(800) 868-1908

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Addresses

Other names 1

• CardioSom of Tupelo Doing business as

Member of 1

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

• Pacific Sleep Medicine Services Inc

  • Durable Medical Equipment & Medical Supplies
  • Fountain Valley, CA
  • NPI 1801001953

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1992993992",
    "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": "111 TROY ST",
            "address_2": "SUITE C",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38804",
            "telephone_number": "800-868-1920",
            "fax_number": "800-868-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOSOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CardioSom of Tupelo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susie Shantila Cannon, TRADITIONAL MIDWIFE
• John A Cantrell, M.D.
• Caitlyn Capps, M.S.,NCC,LPC/MHSP-T
• Cardinal Clinical Consulting, LLC
• Cardiology Associates of North Ms PA
• Cardiothoracic Surgery Clinic of North Ms
• Caring Hands Health Care Services
• Caring Hands Healthcare
• Caring Heart Personal Care Services, LLC
• Desiree Wasinger Carnathan, M.ED.

• All providers in Tupelo, MS
• Oxygen Equipment & Supplies (DME) in Mississippi

• 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.

Verify at the official NPI Registry.