OXYOASIS LLC NPI 1093985699

NPI Information

NPI: 1093985699
Provider Name: OXYOASIS, LLC

Doing Business As: ST LUKES MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1631 ATLANTA RD
GAINESVILLE, GA
ZIP 30504
Phone: (770) 718-1517
Get Directions

OXYOASIS, LLC is a family medicine in Gainesville, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OXYOASIS, LLC NPI is 1093985699. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Lukes Medical Center.

The provider's business location address is:

1631 ATLANTA RD
GAINESVILLE, GA
ZIP 30504-942
Phone: (770) 718-1517
Fax: (770) 718-1518

The provider's authorized official is Melanie L Cooper .
The authorized official title is Ceo and has the following contact phone number (678) 613-3213.

The enumeration date for this NPI number is 3/11/2008 and was last updated on 4/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207PE0005X	Emergency Medicine	Undersea and Hyperbaric Medicine			No
2	207Q00000X	Family Medicine			GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000800588K	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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