Medex Health Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

33024 Issued in AZ

Legal business name

MEDEX HEALTH CARE LLC

Practice address

201 W Guadalupe Rd Ste 200
Gilbert, AZ 85233-3332

Phone

(480) 558-7078

Fax

(480) 558-7081

NPI assigned

Aug 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Samer S Sannoufi, M.D.,NPI 1528023264

Title

Owner

Phone

(480) 558-7078

Specialties & licenses 1

Addresses

Other names 1

• DBA :ALL AGES FAMILY MEDICINE Doing business as

Practitioners 1

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

• Samer S Sannoufi, MD

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1528023264
  NPD (past) Authorized official

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1023201464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333332",
            "telephone_number": "480-558-7078",
            "fax_number": "480-558-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W GUADALUPE RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852333332",
            "telephone_number": "480-558-7078",
            "fax_number": "480-558-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "SANNOUFI",
        "authorized_official_first_name": "SAMER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-558-7078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "33024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA :ALL AGES FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Merideth Mecham, M.S., CF-SLP
• Rebekah Mecham
• Craig Loren Mechelke, D.O.
• Med Equip Now
• Lisa Marie Medeiros, MS, LAC
• Medical Research Staffing Home Health Solutions LLC
• Medical Transit Pro
• Medically Directed Care Clinic Phoenix, LLC
• Medwell LLC
• Adalesa Meek, LPC, LISAC

• Primary Care Clinic/Center in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Primary Care Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.