Active NPI
Memorial Medical Group Inc
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEMORIAL MEDICAL GROUP INC
- Practice address
- 5332 N 7TH Ave
Phoenix, AZ 85013-1903 - Phone
- (602) 265-1694
- NPI assigned
- Aug 9, 2007
- Last updated
- Jan 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexey Drogomiretskiy
- Title
- Ceo
- Phone
- (602) 265-1694
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5332 N 7TH Ave
Phoenix, AZ 85013-1903
Mailing address
5332 N 7TH Ave
Phoenix, AZ 85013-1903
Phone (602) 265-1694
National Provider Directory
National Provider DirectoryLocations
5332 N 7th Ave
Phoenix, AZ 85013
Phone (602) 265-1694
1025 Atlantic Ave
Ste 309
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Ste 224
Long Beach, CA 90806
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Phone (562) 989-6457
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Ste 106
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Phone (818) 226-6811
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Ste 250
Whittier, CA 90603
Practitioners & affiliated clinicians
Practitioners 1,218
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200614400000",
"number": "1255523643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5332 N 7TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850131903",
"telephone_number": "602-265-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5332 N 7TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850131903",
"telephone_number": "602-265-1694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-09",
"last_updated": "2008-01-18",
"status": "A",
"authorized_official_last_name": "DROGOMIRETSKIY",
"authorized_official_first_name": "ALEXEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "602-265-1694"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.