Organization Active NPI

RMD Medical LLC

  • Allergy & Immunology Physician
  • Casa Grande, AZ
National Provider Identifier
1083178255
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
RMD MEDICAL LLC
Practice address
177 W Cottonwood LN Ste 6
Casa Grande, AZ 85122-2552
Phone
(520) 233-5905
Fax
(520) 233-5910
NPI assigned
Jan 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Jeffrey D Wooley
Title
Director of Operations
Phone
(520) 233-5905

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

177 W Cottonwood LN Ste 6
Casa Grande, AZ 85122-2552

Mailing address

177 W Cottonwood LN Ste 6
Casa Grande, AZ 85122-2552
Phone (520) 233-5905

Other names 1

  • Your Allergy Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190611003182 AZ Part B Supplier - Clinic/Group Practice 0941533061 Receives reassigned benefits from 3 practitioners
Practice locations: Casa Grande, AZ

National Provider Directory

National Provider Directory

Locations

177 W Cottonwood Ln
Ste 16
Casa Grande, AZ 85122

177 W Cottonwood Ln
Ste 6
Casa Grande, AZ 85122
Phone (520) 233-5905

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1083178255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 W COTTONWOOD LN STE 6",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222552",
            "telephone_number": "520-233-5905",
            "fax_number": "520-233-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 W COTTONWOOD LN STE 6",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222552",
            "telephone_number": "520-233-5905",
            "fax_number": "520-233-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMD MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2022-05-31",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "WOOLEY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "520-233-5905"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Allergy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.