Provider Demographics
NPI:1245209980
Name:OXYMED CORPORATION
Entity Type:Organization
Organization Name:OXYMED CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PASCHKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-684-6525
Mailing Address - Street 1:6509 TRANSIT RD
Mailing Address - Street 2:
Mailing Address - City:BOWMANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14026-1056
Mailing Address - Country:US
Mailing Address - Phone:716-684-6525
Mailing Address - Fax:716-684-8085
Practice Address - Street 1:6509 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:BOWMANSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14026-1000
Practice Address - Country:US
Practice Address - Phone:716-684-6525
Practice Address - Fax:716-684-8085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00055140001OtherBCBS WNY
NY02178783Medicaid
NY4032240001Medicare ID - Type Unspecified