Organization Active NPI

Oleh Romanenko

Doing business as Mesa Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
National Provider Identifier
1083794382
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OLEH ROMANENKO
Doing business as
Mesa Medical Equipment
Practice address
1616 E Main St Ste 115
Mesa, AZ 85203-9072
Phone
(480) 615-6564
Fax
(480) 615-6554
NPI assigned
Oct 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Oleh Romanenko
Title
Owner
Phone
(480) 615-6564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1616 E Main St Ste 115
Mesa, AZ 85203-9072

Mailing address

1616 E Main St Ste 115
Mesa, AZ 85203-9072
Phone (480) 615-6564

Other names 1

  • MESA MEDICAL EQUIPMENT Doing business as

National Provider Directory

National Provider Directory

Locations

1616 E Main St
Ste 115
Mesa, AZ 85203
Phone (480) 615-6564

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083794382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E MAIN ST STE 115",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039072",
            "telephone_number": "480-615-6564",
            "fax_number": "480-615-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E MAIN ST STE 115",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852039072",
            "telephone_number": "480-615-6564",
            "fax_number": "480-615-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLEH ROMANENKO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMANENKO",
        "authorized_official_first_name": "OLEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-615-6564",
        "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": "MESA MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.