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Organization
RESTORATIVE OXYGEN CARE, LLC
Active
Organization
RESTORATIVE OXYGEN CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL RAYMOND DIERUF (OWNER)
(859) 420-6362
Entity
Organization
Contact information
Practice address
3499 BLAZER PKWY STE 35, LEXINGTON, KY 40509-2798
(859) 420-6362
Mailing address
3499 BLAZER PKWY STE 35, LEXINGTON, KY 40509-2812
(859) 420-6362
(859) 303-7907
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
163WX1500X
Ostomy Care Registered Nurse
—
NULL
163WX1500X
Ostomy Care Registered Nurse
—
—
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
NULL
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
NULL
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
06/14/2023
Last updated
05/06/2026
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