Electromedical Technologies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELECTROMEDICAL TECHNOLOGIES, INC

Practice address

16561 N. 92ND Street
Suite D101
Scottsdale, AZ 85260

Phone

(480) 292-8976

Fax

(480) 452-1518

NPI assigned

Sep 11, 2007

Organization subpart

Yes

Parent organization

INTELSOURCE GROUP, INCAs reported in NPPES

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

Authorized official

Name

Mr. Matthew Wolfson

Title

Ceo

Phone

(602) 790-8034

Specialties & licenses 1

Addresses

Other names 1

• Electromedical Technologies, LLC Former legal business name

Locations

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1053506204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16561 N. 92ND STREET",
            "address_2": "SUITE D101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-292-8976",
            "fax_number": "480-452-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16561 N. 92ND STREET",
            "address_2": "SUITE D101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-292-8976",
            "fax_number": "480-452-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROMEDICAL TECHNOLOGIES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTELSOURCE GROUP, INC",
        "enumeration_date": "2007-09-11",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "WOLFSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-790-8034",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Electromedical Technologies, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Omar Jamal Eldeib
• Jessica Ann Elder, LCSW
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• Eleanor C. Mariano MD PC (Center for Executive Medicine)
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• Elena Sibley M.D. P.C.
• Lisa Marie Elenes
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• Durable Medical Equipment & Medical Supplies in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.