First Nations Limb Preservation Foundation

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

45866 Issued in AZ

Legal business name

FIRST NATIONS LIMB PRESERVATION FOUNDATION

Practice address

535 E McKellips Rd Ste 111
Mesa, AZ 85203-2525

Phone

(480) 840-4230

NPI assigned

Jul 17, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Scott Brannan, MDNPI 1033369707

Title

President

Phone

(480) 840-4230

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott M Brannan, MD

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1033369707

  Vascular & Interventional Radiology

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1013439520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 S POWER RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123609",
            "telephone_number": "480-840-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E MCKELLIPS RD STE 111",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032525",
            "telephone_number": "480-840-4230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1457 W Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024813",
            "country_code": "US",
            "telephone_number": "480-840-4230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRST NATIONS LIMB PRESERVATION FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BRANNAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-840-4230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "45866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Choice DME LLC
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• First in Mind Behavioral Health LLC
• First Royal Care Co LLC (Red Mountain Compounding Pharmacy)
• First Step Recovery LLC
• Firstlight Home Care of Apache Junction, Az
• Firt Med
• Fred NMN Fisch, O.D.

• Vascular & Interventional Radiology Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Vascular & Interventional Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.