EXTREMITY MEDICAL (NPI# 1851544456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851544456 |
Entity Type | Organization |
Organization Name | EXTREMITY MEDICAL |
Practice Address |
1601 N 9th Ave Phoenix AZ 85007-1707 |
Practice Telephone | 6024055105 |
Practice Fax Number | 6023912110 |
Mailing Telephone | 6024055105 |
Mailing Fax Number | 6023912110 |
Enumeration Date | 2008-10-28 |
Last Update Date | 2008-10-28 |
Authorized Official Name | MR. IVAN D WALKER (MANAGING DIRECTOR) |
Authorized Official Telephone | 6024055105 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | EXTREMITY MEDICAL, LLC | 300 Interpace Pkwy Ste 410, Parsippany, NJ 07054-1148 |
Oklahoma Business Registrations | EXTREMITY MEDICAL, LLC | 300 Interpace Parkway Ste 410, Parsippany, NJ 07054 |
Connecticut Business Registrations | EXTREMITY MEDICAL, LLC | 300 Interpace Pkwy., Parsippany, NJ 07054 |
Street Address |
1601 N 9TH AVE |
City | PHOENIX |
State | AZ |
Zip Code | 85007-1707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861017824 | Tembre Eliza Delong | Student in an Organized Health Care Education/Training Program | 230 South 12th Ave, Phoenix, AZ 85007 | 2020-06-15 |
1841706785 | Circle The City | Clinic/Center | 206 S 12th Ave, Phoenix, AZ 85007 | 2017-12-14 |
1922559624 | Community Bridges, Inc. | Community/Behavioral Health | 1125 W Jackson St, Phoenix, AZ 85007 | 2016-10-18 |
1912358045 | Isabel Victoria Rodriguez | Speech-Language Pathologist | 2302 North 15th Avenue, Phoenix, AZ 85007 | 2016-06-30 |
1730441825 | Sara Joyce Edmund | Nurse Practitioner | 1424 S 7th Avenue, Phoenix, AZ 85007 | 2012-06-13 |
1295781771 | Ilin Chuang | Pediatrics | 150 N. 18th Ave., Suite 150, Arizona Depart. of Health Services, Phoenix, AZ 85007 | 2006-05-26 |
1518924802 | Michael James Higbee | Physician Assistant | 1201 S. 7th Avenue, Suite 150, Phoenix, AZ 85007 | 2006-04-28 |
1942278676 | David Paul Brown | Emergency Medicine | 1201 S 7 Avenue, Phoenix, AZ 85007 | 2006-03-09 |
1265409759 | Carol D Watkins | Emergency Medicine | 1201 S 7th Avenue, Phoenix, AZ 85007 | 2006-03-02 |
1982695615 | Mary Pat Nesbit | Emergency Medicine | 1201 S 7th Ave, Phoenix, AZ 85007 | 2005-11-02 |
Find all providers in zip 85007 |
Taxonomy Code | 332BN1400X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Nursing Facility Supplies |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497788293 | Geripro, Inc. | Durable Medical Equipment & Medical Supplies | 14637 N Cave Creek Rd, Phoenix, AZ 85022-4154 | 2006-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548512239 | We Care Medical Supply Plus | Durable Medical Equipment & Medical Supplies | 17317 W. Banff Lane, Surprise, AZ 85388 | 2012-10-05 |
1497997308 | Noko Medical Supply Company | Durable Medical Equipment & Medical Supplies | 5060 W Bethany Home Rd Ste 4, Glendale, AZ 85301-5269 | 2009-03-25 |
1881860880 | Personally Delivered, LLC | Durable Medical Equipment & Medical Supplies | 9601 E Rand Pl, Tucson, AZ 85715-5833 | 2008-04-30 |
1659352474 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 5848 E University Dr, Mesa, AZ 85205-7446 | 2005-11-09 |
1205826922 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 10323 W Olive Ave, Peoria, AZ 85345-7345 | 2005-10-25 |
1619204161 | Max Medical LLC | Durable Medical Equipment & Medical Supplies | 3014 N Hayden Rd, Suite 119, Scottsdale, AZ 85251-6686 | 2009-11-04 |
Please comment or provide details below to improve the information on EXTREMITY MEDICAL.
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.