OASIS MEDICAL LLC (NPI# 1306243829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306243829 |
| Entity Type | Organization |
| Organization Name | OASIS MEDICAL LLC |
| Practice Address |
325 Front St #330 Evanston WY 82930-3633 |
| Practice Telephone | 8772547838 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | MR. SETH KELSON (PRESIDENT) |
| Authorized Official Telephone | 8012302018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
325 FRONT ST #330 |
| City | EVANSTON |
| State | WY |
| Zip Code | 82930-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023089745 | Robin Regina Ballina | Psychiatry & Neurology | 325 Front St, #328, Evanston, WY 82930-3633 | 2006-01-30 |
| 1063437234 | James Ammon | Pharmacist | 325 Front St, 408, Evanston, WY 82930-3633 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398935 | Colby Kim Gomez | Physical Therapist | 190 Arrowhead Dr, Evanston, Wy 82930, Evanston, WY 82930 | 2020-02-13 |
| 1164808382 | Marilyn Carol Edgeworth Tacoma | Registered Nurse | 1037 Morse Lee St, Evanston, WY 82930 | 2015-08-11 |
| 1699159723 | Impact Physical Therapy LLC | Clinic/Center | 96 Yellow Creek Road, Evanston, WY 82930 | 2015-07-18 |
| 1578942421 | Mark Carstensen | Case Manager/Care Coordinator | 219 7th Street, Evanston, WY 82930 | 2015-05-26 |
| 1013396241 | Jennifer Carstensen | Case Manager/Care Coordinator | 325 Arrowhead Drive, Evanston, WY 82930 | 2015-05-20 |
| 1780083782 | Christa Lena Barker | Nurse Practitioner | 191 Overthrust Road, Evanston, WY 82930 | 2014-08-15 |
| 1366865339 | Don Mckay Francom | Dentist | 170 Arrowhead Dr. Suite 1, Evanston, WY 82930 | 2014-01-28 |
| 1417228370 | Premier Surgical Center, LLC | Clinic/Center | 195 Overthrust Road, Evanston, WY 82930 | 2012-01-24 |
| 1588959324 | Mejia D Williams | Social Worker | 190 Overthrust Road, Evanston, WY 82930 | 2011-06-09 |
| 1225327000 | Richard Jay Capener | Family Medicine | 196 Arrowhead Dr Ste 1, Evanston, WY 82930 | 2011-04-01 |
| Find all providers in zip 82930 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366788416 | Joshua J Elkins | Durable Medical Equipment & Medical Supplies | 133 Front St, Evanston, WY 82930-3629 | 2012-12-18 |
| 1942374806 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1123 Emerson St, Evanston, IL 60201-3100 | 2006-11-20 |
| 1760580591 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 Asbury Ave, Evanston, IL 60202-3801 | 2006-09-20 |
| 1366546210 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1711 Sherman Ave, Evanston, IL 60201-3712 | 2006-09-12 |
| 1710993290 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 900 Dodge Ave, Evanston, IL 60202-1507 | 2006-08-01 |
| 1992710032 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2100 Green Bay Rd, Evanston, IL 60201-3026 | 2006-07-29 |
| 1407878218 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 2209 Howard St, Evanston, IL 60202-3636 | 2006-07-24 |
| 1720005952 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 125 N 2nd St, Evanston, WY 82930-3672 | 2006-07-16 |
| 1942227236 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 2450 Main St, Evanston, IL 60202-1548 | 2006-07-16 |
| 1659396281 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 70 Yellow Creek Rd, Evanston, WY 82930-5227 | 2006-07-13 |
| Find all providers in EVANSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.