Provider Demographics
NPI:1427091149
Name:MEDICAL ELECTRONICS CORP. USA
Entity type:Organization
Organization Name:MEDICAL ELECTRONICS CORP. USA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:U
Authorized Official - Last Name:ORIEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-602-1806
Mailing Address - Street 1:5123 N PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-2058
Mailing Address - Country:US
Mailing Address - Phone:405-602-1806
Mailing Address - Fax:
Practice Address - Street 1:5123 N PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-2058
Practice Address - Country:US
Practice Address - Phone:405-602-1806
Practice Address - Fax:405-602-1813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK861936332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200082710AMedicaid
OK5726640001Medicare NSC