Elsadig A Eltahir

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Practice address

64 E Broadway Rd
Tempe, AZ 85282-1353

Phone

(480) 383-9443

NPI assigned

Mar 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southwest Trans LLC

  • Non-emergency Medical Transport (VAN)
  • Gilbert, AZ
  • NPI 1154010452
  NPD Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1124728332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 E FAIRVIEW ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852952772",
            "telephone_number": "480-383-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 E BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821353",
            "telephone_number": "480-383-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELTAHIR",
        "first_name": "ELSADIG",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ells, NURSE
• Asheeki Elmore, PSYD
• Marwan Gamal Elmubarak
• Sally Elrayah
• Heba Elsaad, LCSW
• Emblem Healthcare, Inc.
• Emblem Healthcare, Inc.
• Emblem Healthcare, Inc.
• Embodied Empowerment, PLLC
• Ashley Embree, PHARM.D.

• Transportation Network Company in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Transportation Network Company in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.