Advance Medical Services, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

6088482-1714 Issued in UT

Legal business name

ADVANCE MEDICAL SERVICES, INC

Doing business as

Petersen Medical

Practice address

1268 S 1380 W
Orem, UT 84058-4911

Phone

(801) 374-8101

Fax

(801) 374-8121

NPI assigned

Oct 6, 2006

Last updated

Nov 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gordon Ridley

Title

President/Ceo

Phone

(801) 373-1010

Specialties & licenses 3

Addresses

Other names 1

• Petersen Medical Doing business as

Locations

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1164519856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 S 1380 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840584911",
            "telephone_number": "801-373-1010",
            "fax_number": "801-373-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 S 1380 W",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840584911",
            "telephone_number": "801-374-8101",
            "fax_number": "801-374-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "RIDLEY",
        "authorized_official_first_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "801-373-1010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "UT",
            "license": "6088482-1714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petersen Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Petersen Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Orem, UT
• Providers in Orem, UT by specialty
• Oxygen Equipment & Supplies (DME) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.