ECHELON MEDICAL LLC (NPI# 1710965801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710965801 |
| Entity Type | Organization |
| Organization Name | ECHELON MEDICAL LLC |
| Practice Address |
409 E California Ave Oklahoma City OK 73104-4224 |
| Practice Telephone | 4058485130 |
| Practice Fax Number | 4058485102 |
| Mailing Telephone | 4058485130 |
| Mailing Fax Number | 4058485102 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | MR. MICHAEL LEE KISTHARDT (MANAGER) |
| Authorized Official Telephone | 4058485130 |
| 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 |
1-S-1133 | OK | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598799504 | Echelon Medical LLC | Durable Medical Equipment & Medical Supplies | 1430 Lincoln Rd, Idabel, OK 74745 | 2006-07-10 |
| Street Address |
409 E CALIFORNIA AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-4224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588017594 | Kevin Sadosky | Specialist/Technologist, Other | 409 E California Ave, Oklahoma City, OK 73104-4224 | 2016-07-14 |
| 1114383163 | Darilyn Jordan | Specialist/Technologist, Other | 409 E California Ave, Oklahoma City, OK 73104-4224 | 2016-01-06 |
| 1730575366 | Joshua Adam Zwosta | Specialist/Technologist, Other | 409 E California Ave, Oklahoma City, OK 73104-4224 | 2015-04-10 |
| 1336533686 | Steven Craig Williams | Specialist | 409 E California Ave, Oklahoma City, OK 73104-4224 | 2015-03-25 |
| 1861897472 | Katherine Roberts | Specialist/Technologist, Other | 409 E California Ave, Oklahoma City, OK 73104-4224 | 2014-10-24 |
| 1093119968 | Greg Pace | Specialist/Technologist, Other | 409 E California Ave, Oklahoma City, OK 73104-4224 | 2014-10-21 |
| 1477957025 | Vaishali Patel | Specialist/Technologist, Other | 409 E California Ave, Oklahoma City, OK 73104-4224 | 2014-10-10 |
| 1689077612 | Phyllis R Deshazo | Specialist/Technologist, Other | 409 E California Ave, Oklahoma City, OK 73104-4224 | 2014-10-05 |
| 1609203553 | Rok Medical Management, LLC | Clinic/Center | 409 E California Ave, Oklahoma City, OK 73104-4224 | 2013-10-08 |
| 1972867026 | Elizabeth Eby | Audiologist | 409 E California Ave, Oklahoma City, OK 73104-4224 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013292267 | Procare Healing Centers, LLP | Durable Medical Equipment & Medical Supplies | 1208 N Council Rd, Oklahoma City, OK 73127-4987 | 2011-10-19 |
| 1679708762 | Aerocare Home Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 6125 W Reno Ave Ste 100, Oklahoma City, OK 73127 | 2009-05-19 |
| 1275702896 | American Home Medical Services Inc | Durable Medical Equipment & Medical Supplies | 4229 Royal Ave, Suite 118, Oklahoma City, OK 73108-2071 | 2008-02-28 |
| 1104950617 | Jsj Enterprises, L.L.C. | Durable Medical Equipment & Medical Supplies | 1000 Cornell Pkwy, Suite #300, Oklahoma City, OK 73108-1886 | 2007-03-15 |
| 1063428944 | Health Path Services LLC | Durable Medical Equipment & Medical Supplies | 3908 North Tulsa Avenue, Suite B, Oklahoma City, OK 73112 | 2006-07-31 |
| 1477577005 | Braden Partners,lp | Durable Medical Equipment & Medical Supplies | 5709 Se 74th St, Ste A, Oklahoma City, OK 73135 | 2006-07-27 |
| 1003835281 | Respiratory Solutions of Western Oklahoma, LLC | Durable Medical Equipment & Medical Supplies | 7420 Nw 84th St, Oklahoma City, OK 73132-4271 | 2006-07-19 |
| 1457329617 | Home Respiratory Services Inc | Durable Medical Equipment & Medical Supplies | 4209 Royal Ave, Oklahoma City, OK 73108-2033 | 2006-03-14 |
| 1013903533 | Breathing Disorders Services | Durable Medical Equipment & Medical Supplies | 8241 S Walker Ave, Oklahoma City, OK 73139-9401 | 2005-09-20 |
| 1366722183 | Integris Baptist Medical Center, Inc | Durable Medical Equipment & Medical Supplies | 4120 N Portland Ave, Oklahoma City, OK 73112-6311 | 2011-08-24 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
Please comment or provide details below to improve the information on ECHELON MEDICAL LLC.
| 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.