Azer Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AZER MEDICAL SUPPLY, INC.

Practice address

156 E Main St
Galesburg, IL 61401-4609

Phone

(309) 342-2937

NPI assigned

Apr 6, 2009

Last updated

Feb 8, 2012By 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. Fakhry Wilson Azer, P.T.NPI 1790703452

Title

Owner

Phone

(309) 344-3400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fakhry Wilson Azer, P.T.

  • Physical Therapist
  • Galesburg, IL
  • NPI 1790703452
  NPD Authorized official

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1356583488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 E MAIN ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614014609",
            "telephone_number": "309-342-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 E MAIN ST",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614014609",
            "telephone_number": "309-342-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZER MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "AZER",
        "authorized_official_first_name": "FAKHRY",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-344-3400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Rose Eyecare LTD (Precision Family Eyecare)
• Susie Marie Avery, APRN
• Chris M Ayers, CNS
• Robert Ayers
• Azer III, P.C. (Azer Clinic)
• Azer Rehab Systems, P.C.
• Fakhry Wilson Azer, P.T.
• Tiffany Marie Babcock, CADC,QHEIC
• Lynn Bachelder
• Bonnie Lou Bair, MS LCPC

• Durable Medical Equipment & Medical Supplies in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.