PHOENIX MEDICAL SUPPLY SPECIALISTS, LLC (NPI# 1487275012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487275012 |
| Entity Type | Organization |
| Organization Name | PHOENIX MEDICAL SUPPLY SPECIALISTS, LLC |
| Practice Address |
7950 E Mississippi Ave Ste D Denver CO 80247-2151 |
| Practice Telephone | 3037477189 |
| Practice Fax Number | 3039552397 |
| Mailing Telephone | 3037477189 |
| Mailing Fax Number | 3039552397 |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2020-05-06 |
| Authorized Official Name | LEONID REZNIKOV (GENERAL PARTNER) |
| Authorized Official Telephone | 7204367613 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | COLORADO STATE | 20201346609 | 01 |
| Other Name | Type Code |
|---|---|
| Phoenix Medical Supply | Doing Business As Name - Organization |
| Street Address |
7950 E MISSISSIPPI AVE STE D |
| City | DENVER |
| State | CO |
| Zip Code | 80247-2151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518131507 | Medstuff, Inc | Durable Medical Equipment & Medical Supplies | 7950 E Mississippi Ave Ste D, Denver, CO 80247-2151 | 2008-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438555 | Tawanda D Moss | Technician, Pathology | 10105 E. Virgina Ave. 7-108, Denver, CO 80247 | 2020-08-18 |
| 1992320428 | Renate Petters | Behavior Technician | 1799 S. Dayton St., Building 2 Unit 237, Denver, CO 80247 | 2020-06-10 |
| 1780141895 | Wendy Mc Bui | Physician Assistant | 1530 S Florence Way Unit 312, Aurora, CO 80247 | 2019-02-25 |
| 1316462336 | Bonnie Doman | Acupuncturist | 9300 E Florida Ave Unit 401, Denver, CO 80247 | 2017-08-10 |
| 1235669847 | Met Transport | Non-emergency Medical Transport (VAN) | 630 S Dayton St, Apt 16-205, Denver, CA 80247 | 2017-06-15 |
| 1144752429 | Phoenix Medical Supply | Durable Medical Equipment & Medical Supplies | 7950 E. Missississippi Ave., Unit-d, Denver, CO 80247 | 2017-03-28 |
| 1023479730 | Francesca Celupica | Counselor | 9071 E Mississippi Ave 31c, Noesis: Integrated Psychotherapy Services, Denver, CO 80247 | 2016-03-09 |
| 1730544594 | Scs Assisted Living Denver Inc | Assisted Living Facility | 941 S Fulton St, Denver, CO 80247 | 2015-12-22 |
| 1538539382 | Alpine Limousine LLC | Non-emergency Medical Transport (VAN) | 9915 E Mexico Ave, Denver, CO 80247 | 2015-10-05 |
| 1528438082 | Yonas Tadesse Taye | Non-emergency Medical Transport (VAN) | 8680 E Alameda Ave Unit# 1606, Denver, CO 80247 | 2015-09-28 |
| Find all providers in zip 80247 | ||||
| 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 |
|---|---|---|---|---|
| 1346847159 | Access Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 2600 S Parker Rd Ste 6-267b, Denver, CO 80014-1684 | 2020-10-05 |
| 1982233698 | Brace Yourself, LLC | Durable Medical Equipment & Medical Supplies | 730 17th St Ste 900, Denver, CO 80202-3540 | 2020-04-04 |
| 1639720857 | Tunishia Stepney | Durable Medical Equipment & Medical Supplies | 15131 E 53rd Ave, Denver, CO 80239-4200 | 2019-09-28 |
| 1821649526 | Darrell Ray | Durable Medical Equipment & Medical Supplies | 3257 N Fillmore St, Denver, CO 80205-4253 | 2019-09-24 |
| 1376198184 | Erik Lawrence Good | Durable Medical Equipment & Medical Supplies | 3041 S Grape Way, Denver, CO 80222-6809 | 2019-08-08 |
| 1285197111 | Capitol Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 8973 E Kenyon Ave # 280, Denver, CO 80237-1836 | 2019-04-08 |
| 1972065605 | Highpoint Medical LLC | Durable Medical Equipment & Medical Supplies | 695 S Colorado Blvd Ste 230, Denver, CO 80246-8012 | 2019-04-02 |
| 1457828055 | Element Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3875 Newport St Unit C, Denver, CO 80207 | 2018-11-01 |
| 1033698089 | Kinex Medical Company, LLC | Durable Medical Equipment & Medical Supplies | 6150 Leetsdale Dr # 1131, Denver, CO 80224-3214 | 2018-08-10 |
| 1912484155 | Mobility Services of Colorado, Inc. | Durable Medical Equipment & Medical Supplies | 8000 E Quincy Ave Unit 1900, Denver, CO 80237-3240 | 2018-07-20 |
| Find all providers in DENVER | ||||
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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.