Provider Demographics
NPI:1184695405
Name:PATHWAYS RESPIRATORY SERVICES LLC
Entity type:Organization
Organization Name:PATHWAYS RESPIRATORY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OTIS
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:FOSHEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-605-3736
Mailing Address - Street 1:PO BOX 55490
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73155-0490
Mailing Address - Country:US
Mailing Address - Phone:405-605-3736
Mailing Address - Fax:405-605-3763
Practice Address - Street 1:3908 N TULSA AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2937
Practice Address - Country:US
Practice Address - Phone:405-605-3736
Practice Address - Fax:405-605-3763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-27
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK=========001OtherBLUE CROSS
OK4306200001Medicare NSC
OK43062000001Medicare ID - Type Unspecified