Copper Sun Enterprises, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

11022216 Issued in AZ

Legal business name

COPPER SUN ENTERPRISES, INC

Doing business as

Copper Sun Medical Supply

Practice address

157 W Cedar St
Globe, AZ 85501-2509

Phone

(928) 425-8540

Fax

(866) 679-2291

NPI assigned

Nov 23, 2005

Last updated

Oct 25, 2011By 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. Gregory Paul Lazarin

Title

Ceo

Phone

(928) 425-8540

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Copper Sun Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1255314225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1783",
            "city": "CLAYPOOL",
            "state": "AZ",
            "postal_code": "855321783",
            "telephone_number": "928-425-8540",
            "fax_number": "866-679-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 W CEDAR ST",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855012509",
            "telephone_number": "928-425-8540",
            "fax_number": "866-679-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER SUN ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "LAZARIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-425-8540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AZ",
            "license": "11022216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0274230",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPT OF REVENUE TPT",
            "identifier": "11022216",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Copper Sun Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Fernando Cruzado, MD

• Oxygen Equipment & Supplies (DME) in Globe, AZ
• Providers in Globe, AZ by specialty
• Oxygen Equipment & Supplies (DME) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.