# RESTORATIVE OXYGEN CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578247078
- **Authorized official:** PAUL RAYMOND DIERUF (OWNER)
- **Authorized official phone:** (859) 420-6362

## Contact information

- **Practice address:** 3499 BLAZER PKWY STE 35, LEXINGTON, KY 40509-2798
- **Practice address phone:** (859) 420-6362
- **Mailing address:** 3499 BLAZER PKWY STE 35, LEXINGTON, KY 40509-2812
- **Mailing address phone:** (859) 420-6362
- **Mailing address fax:** (859) 303-7907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207PE0005X | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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
