PHOENIX MEDICAL SUPPLIES LLC (NPI# 1770916892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770916892 |
| Entity Type | Organization |
| Organization Name | PHOENIX MEDICAL SUPPLIES LLC |
| Practice Address |
512 Oakland Ave Waukesha WI 53186-5573 |
| Practice Telephone | 2629558911 |
| Mailing Telephone | 2629558911 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |
| Authorized Official Name | MR. JACOB NIELSEN (OWNER) |
| Authorized Official Telephone | 2629558911 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
456-1028557037-0 | WI | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
456-1028557037-0 | WI | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 456-1028557037-0 | WI | Suppliers |
| Street Address |
512 OAKLAND AVE |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53186-5573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295391472 | Christine Lowdon Triggs | Dentist | 21680 West Bluemound Rd, Waukesha, WI 53186 | 2019-05-14 |
| 1881182889 | Allure Medical of Wisconsin Pllc | Clinic/Center | 1930 W Bluemound Rd Ste 340, Waukesha, WI 53186 | 2018-04-25 |
| 1316462104 | Mary B Mckee | Dietitian, Registered | 22370 W Bluemound Rd, #102, Waukesha, WI 53186 | 2017-08-14 |
| 1740738343 | Rebecca Menelle | Physical Therapist | 1809 Shepherd Ct, Apt 206, Waukesha, WI 53186 | 2016-09-13 |
| 1568919876 | Dianne Isnard | Physical Therapist | W231n1440 Corporate Court, Waukesha, WI 53186 | 2016-09-02 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1598142937 | Sophia Marie Klingbiel | Social Worker | 1515 Paramount Dr., Waukesha, WI 53186 | 2015-05-06 |
| 1326478165 | Glen D Haberman | Dentist | 141 Wisconsin Avenue, Waukesha, WI 53186 | 2013-11-14 |
| 1487991014 | Sara Nicole Francis | Counselor | 217 Wisconsin Ave Ste 211, Waukesha, WI 53186 | 2013-01-16 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| Find all providers in zip 53186 | ||||
| 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 |
|---|---|---|---|---|
| 1922641877 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | W234s3555 Les Paul Pkwy, Waukesha, WI 53189-8512 | 2019-10-23 |
| 1699206854 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1501 Airport Rd Ste 1072, Waukesha, WI 53188-2461 | 2017-03-21 |
| 1942664503 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 801 E Sunset Dr, Waukesha, WI 53189-7816 | 2016-04-11 |
| 1629474267 | Advanced Bracing Plus LLC | Durable Medical Equipment & Medical Supplies | 1801 Airport Rd, Suite C, Waukesha, WI 53188-2477 | 2014-11-10 |
| 1235551144 | Dmdz, Inc. | Durable Medical Equipment & Medical Supplies | 1900 Airport Rd Ste B, Waukesha, WI 53188-2478 | 2014-01-11 |
| 1063848901 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | S14w22605 Coral Dr, Waukesha, WI 53186-1538 | 2013-09-24 |
| 1760738546 | Schreve and Associates Inc. | Durable Medical Equipment & Medical Supplies | 406 Travis Ln., Ste 50, Waukesha, WI 53189 | 2012-07-30 |
| 1508136763 | The Sleep Wellness Institute Inc | Durable Medical Equipment & Medical Supplies | 2320d E Moreland Blvd, Waukesha, WI 53186-2948 | 2012-01-05 |
| 1902180904 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 2110 Pewaukee Rd, Waukesha, WI 53188-2482 | 2011-10-10 |
| 1902134570 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | N8w22195 Johnson Dr, Suite 100, Waukesha, WI 53186 | 2009-11-19 |
| Find all providers in WAUKESHA | ||||
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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.