SPECIALIZED OXYGEN SERVICES, LLC (NPI# 1427003201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427003201 |
| Entity Type | Organization |
| Organization Name | SPECIALIZED OXYGEN SERVICES, LLC |
| Practice Address |
1008 Executive Dr Suite 102 Hixson TN 37343-3991 |
| Mailing Address |
Po Box 965 Hixson TN 37343-0965 |
| Practice Telephone | 4238470031 |
| Practice Fax Number | 4238470525 |
| Mailing Telephone | 4238470031 |
| Mailing Fax Number | 4238470525 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-10-24 |
| Authorized Official Name | KIMBERLY DENEISE STANDEFER (PRESIDENT (CO-OWNER)) |
| Authorized Official Telephone | 4238470031 |
| Authorized Official Credential | RN, BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0000000727 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DME PROVIDER # GAMCAID | 000974366A | 01 |
| TN | 1454230 | 05 | |
| TN | DME PROVIDER # BC/BS | 4049414 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154509214 | Specialized Oxygen Services, LLC | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw, Suite 2, Cleveland, TN 37311-3614 | 2008-01-31 |
| Street Address |
1008 EXECUTIVE DR SUITE 102 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-3991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992044762 | Kimberly Standefer | Nurse Practitioner | 1008 Executive Dr, Suite 102, Hixson, TN 37343-3991 | 2013-02-13 |
| 1366530594 | Timothy D. Gowder Gowder | Pain Medicine | 1008 Executive Dr, Suite 101, Hixson, TN 37343-3991 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962581 | Home Medical Products, Inc | Durable Medical Equipment & Medical Supplies | 1508 Carl Adams Dr Ste 101, Murfreesboro, TN 37129-4375 | 2020-08-12 |
| 1821629031 | Buckeye Home Health Center, Inc. | Durable Medical Equipment & Medical Supplies | 689 Medical Park Dr Ste 202, Lenoir City, TN 37772-5797 | 2020-01-28 |
| 1558911396 | Resp-i-care, Inc. | Durable Medical Equipment & Medical Supplies | 105 W Stone Dr Ste 1c, Kingsport, TN 37660-3365 | 2019-09-13 |
| 1801449335 | Carla Marie Walton | Durable Medical Equipment & Medical Supplies | 4747 Harvest Knoll Ln, Memphis, TN 38125-4714 | 2019-07-23 |
| 1649830142 | Regional Health Services LLC | Durable Medical Equipment & Medical Supplies | 6234 Perimeter Dr Ste A104, Chattanooga, TN 37421-3664 | 2019-06-17 |
| 1720645203 | Buckeye Home Health Center, Inc. | Durable Medical Equipment & Medical Supplies | 3332 Peavine Rd, Crossville, TN 38571-7905 | 2019-05-21 |
| 1659934230 | Riverside Medical Inc | Durable Medical Equipment & Medical Supplies | 105 Lee Parkway Dr Ste C, Chattanooga, TN 37421-6708 | 2019-04-18 |
| 1174084628 | Hch Medical LLC | Durable Medical Equipment & Medical Supplies | 373 Asbury Ave, Ripley, TN 38063-4576 | 2019-03-27 |
| 1821544057 | Dunlop Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 620 Dunlop Ln, Suite 112, Clarksville, TN 37040-5000 | 2016-08-28 |
| 1801259940 | Mcfarland Group, Inc. | Durable Medical Equipment & Medical Supplies | 665 E Broadway Blvd, Jefferson City, TN 37760 | 2016-04-04 |
| Find all providers with the same taxonomy | ||||
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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.