PHOENIX MEDICAL EQUIPMENT, INC. (NPI# 1649331802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649331802 |
| Entity Type | Organization |
| Organization Name | PHOENIX MEDICAL EQUIPMENT, INC. |
| Practice Address |
3915 S Telegraph Rd Dearborn Heights MI 48125-1929 |
| Practice Telephone | 3137300007 |
| Practice Fax Number | 3137300005 |
| Mailing Telephone | 3137300007 |
| Mailing Fax Number | 3137300005 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | MISS AMY BAYDOUN (CEO) |
| Authorized Official Telephone | 3137300007 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS SUPPLIER PIN | 540H225960 | 01 |
| MI | 4805789 | 05 | |
| MI | MIDWEST HEALTH PLAN PIN # | 024626 | 01 |
| Street Address |
3915 S TELEGRAPH RD |
| City | DEARBORN HEIGHTS |
| State | MI |
| Zip Code | 48125-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071637 | Smart Rx LLC | Pharmacy | 25464 Van Born Rd, Dearborn Heights, MI 48125 | 2019-06-07 |
| 1558811331 | Jacquelyn Elyoussef | Technician, Other | 3930 Academy St, Dearborn Heights, MI 48125 | 2016-10-05 |
| 1386856375 | Amerigard Development Corporation | Family Medicine | 23850 Van Born Road, Dearborn Heights, MI 48125 | 2007-05-04 |
| 1922140490 | Marie C Petricca | Social Worker | 20382 Van Born Road, Catholic Social Services of Wayne County, Dearborn Heights, MI 48125 | 2007-02-13 |
| 1528025871 | David L Cooley | Family Medicine | 3902 Monroe, Dearborn Heights, MI 48125 | 2006-04-28 |
| 1013998251 | Masha-moss Inc | Pharmacy | 4245 S Beech Daly Rd, Dearborn Heights, MI 48125 | 2005-11-06 |
| 1033639109 | Clinic Rx 2 LLC | Pharmacy | 23850 Van Born Rd, Dearborn Heights, MI 48125 | 2017-06-21 |
| 1932639176 | Olivia J. Furnas | Midwife | 18101 Oakwood Blvd, Dearborn, MI 48125 | 2017-06-19 |
| 1083099303 | Holistic Healer Health Coaching LLC | Nutritionist | 3998 Clippert St, Dearborn Heights, MI 48125 | 2015-07-28 |
| 1396255915 | Lillian Drushelia Herzberg | Registered Nurse | 26827 Annapolis St, Dearborn Hts, MI 48125-1201 | 2017-10-10 |
| Find all providers in zip 48125 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851927115 | Hassan Slim | Durable Medical Equipment & Medical Supplies | 8652 Arnold St, Dearborn Heights, MI 48127-1221 | 2020-03-19 |
| 1487150686 | Michigan Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 23902 Ford Rd Ste A, Dearborn Heights, MI 48127-3246 | 2018-04-05 |
| 1619353414 | Saad Pharm Group LLC | Durable Medical Equipment & Medical Supplies | 27015 W Warren St Ste 2, Dearborn Heights, MI 48127-1901 | 2015-08-04 |
| 1669870861 | Premier Durable Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 26715 Kingswood Dr, Dearborn Heights, MI 48127-3316 | 2014-12-21 |
| 1225284524 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 25700 Ford Rd, Dearborn Heights, MI 48127-3026 | 2008-08-18 |
| 1720247232 | Sav On Home Healthcare Supply Inc | Durable Medical Equipment & Medical Supplies | 20145 Ann Arbor Trl, Dearborn Heights, MI 48127-2675 | 2008-06-09 |
| 1073703724 | Shan Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 26424 Ford Rd, Dearborn Heights, MI 48127-2884 | 2007-07-30 |
| 1093720393 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5709 S Telegraph Rd, Dearborn Heights, MI 48125-2025 | 2006-07-29 |
| 1811902935 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 8706 N Telegraph Rd, Dearborn Heights, MI 48127-1457 | 2006-07-29 |
| 1821010596 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 26650 Ford Rd, Dearborn Heights, MI 48127-2841 | 2006-07-24 |
| Find all providers in DEARBORN HEIGHTS | ||||
| City | DEARBORN HEIGHTS |
| Zip Code | 48125 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.