PROVIDENTIAL WESTERN MEDICAL (NPI# 1043228919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043228919 |
| Entity Type | Organization |
| Organization Name | PROVIDENTIAL WESTERN MEDICAL |
| Other Organization Name | WESTERN MEDICAL |
| Practice Address |
2202 E University Dr Phoenix AZ 85034-6840 |
| Practice Telephone | 6022579347 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. STEPHANIE DANIELLE SWINBOURNE (DIRECTOR OF INFORMATION AND FINANCE) |
| Authorized Official Telephone | 6027442770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Other Name | Type Code |
|---|---|
| Western Medical | Former Legal Business Name - Organization |
| Street Address |
2202 E UNIVERSITY DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85034-6840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733176 | Western Medical Infusion, Inc. | Home Infusion | 2202 E University Dr, Ste B, Phoenix, AZ 85034-6804 | 2005-10-06 |
| 1093705378 | Western Medical | Durable Medical Equipment & Medical Supplies | 2202 E University Dr, Phoenix, AZ 85034-6804 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093208340 | Curtis James Bierscheid | Physical Therapist | 1828 E Sky Harbor Circle North, Building 2, Suite 150, Phoenix, AZ 85034 | 2018-06-12 |
| 1437654969 | Genoa Healthcare, LLC | Pharmacy | 1035 E Jefferson St Ste P1, Phoenix, AZ 85034 | 2018-03-27 |
| 1659871697 | Us Careways-phx | Clinic/Center | 3800 E Sky Harbor Blvd, Phoenix, AZ 85034 | 2018-02-16 |
| 1053854638 | Josiah Nnadozie Nwaokwa | Nurse Practitioner | 1035 E Jefferson Street, La Frontera -empact Spc, Phoenix, AZ 85034 | 2016-11-30 |
| 1568869915 | Lacee Johnson | Speech-Language Pathologist | 5025 E Washington Street, Suite 212, Phoenix, AZ 85034 | 2014-12-01 |
| 1679974406 | Jagdeep Bains | Pharmacist | 5324 E Washington St, #a, Phoenix, AZ 85034 | 2014-09-11 |
| 1275885030 | Nancy Louise Brewer | Nurse Practitioner | 3800 E Sky Harbor Blvd Fl T4, Phoenix, AZ 85034 | 2012-10-03 |
| 1386928414 | The Facts of Life Grouphome, Inc | Community/Behavioral Health | 1122 E. Buckeye Road, Phoenix, AZ 85034 | 2011-10-07 |
| 1649559832 | Us Medgroup Pa | Clinic/Center | 901 East Jefferson St, Phoenix, AZ 85034 | 2011-08-05 |
| 1689979106 | Latanya King | Counselor | 1122 East Buckeye Road, Suite B-1, Phoenix, AZ 85034 | 2011-01-13 |
| Find all providers in zip 85034 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477112167 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 4130 E Wood St Ste 180, Phoenix, AZ 85040-1972 | 2019-06-07 |
| 1225179914 | Home Again Medical, LLC | Durable Medical Equipment & Medical Supplies | 5016 W Cactus Rd Suite 3, Phoenix, AZ 85304-2245 | 2007-02-08 |
| 1164535902 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 22601 N 19th Ave Ste 108, Phoenix, AZ 85027-1324 | 2006-08-16 |
| 1386618460 | Ultimate Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 16602 N 23rd Ave, Suite # 111, Phoenix, AZ 85023-3200 | 2006-02-15 |
| 1548252356 | Medassure, Inc. | Durable Medical Equipment & Medical Supplies | 1606 E University Dr, 101, Phoenix, AZ 85034-6714 | 2005-08-17 |
| 1952602922 | Dmts | Durable Medical Equipment & Medical Supplies | 2237 N 36th St, Phoenix, AZ 85008-3001 | 2010-11-08 |
| 1629163878 | Los Ninos Hospital Inc | Durable Medical Equipment & Medical Supplies | 1402 E South Mountain Ave, Phoenix, AZ 85042-7925 | 2006-10-04 |
| 1265524599 | Interactive Medical Systems, Inc | Durable Medical Equipment & Medical Supplies | 3422 W Wilshire Dr, Suite 16, Phoenix, AZ 85009-1457 | 2006-09-28 |
| 1891805065 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 760 E Mcdowell Rd, Phoenix, AZ 85006-2518 | 2006-08-30 |
| 1730292194 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 2501 W Behrend Dr, Suite 25/27, Phoenix, AZ 85027-4146 | 2006-08-17 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on PROVIDENTIAL WESTERN 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.