Organization Active NPI

Western Medical

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1093705378
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
WESTERN MEDICAL
Practice address
2202 E University Dr
Phoenix, AZ 85034-6804
Phone
(602) 257-9347
NPI assigned
Oct 26, 2005
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. Marty Powers
Title
A/R C/S Manager
Phone
(602) 744-2739

Specialties & licenses 1

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

Addresses

Primary practice location

2202 E University Dr
Phoenix, AZ 85034-6804

Mailing address

2202 E University Dr
Phoenix, AZ 85034-6804

Other identifiers 1

IdentifierTypeStateIssuer
030594MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093705378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 E UNIVERSITY DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 E UNIVERSITY DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850346804",
            "telephone_number": "602-257-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "A/R C/S MANAGER",
        "authorized_official_telephone_number": "602-744-2739",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030594",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, 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.