Phoenix Medical Products, LTD.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PHOENIX MEDICAL PRODUCTS, LTD.

Practice address

28 Roxbury St
Keene, NH 03431-3265

Phone

(603) 357-2201

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Katherine Grace Tucker

Title

Manager

Phone

(603) 357-2201

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1255418547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ROXBURY ST",
            "address_2": "P.O. BOX 504",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313265",
            "telephone_number": "603-357-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ROXBURY ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034313265",
            "telephone_number": "603-357-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL PRODUCTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "603-357-2201"
    },
    "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": "80002219",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002219",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula-Ayn Phillips, LCMHC
• Stephanie Philpott-Jones, PSYD
• Anna M Phinney
• Phoenix House of New England
• Phoenix House of New England
• Christopher Piehler, PHARMD
• Jessica Marie Pierce
• George Frederick Piers III, MSW
• Kimberly Jean Piers, LICSW
• Vincent Mario Pignatiello II, PSYD

• Durable Medical Equipment & Medical Supplies in Keene, NH
• Providers in Keene, NH by specialty
• Durable Medical Equipment & Medical Supplies in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.