NPIMap

Organization Active NPI

St. Marys Dean Ventures Inc.

Doing business as Ayaz Samadani MD Cambria

  • Durable Medical Equipment & Medical Supplies
  • Cambria, WI
National Provider Identifier
1376587337
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ST. MARYS DEAN VENTURES INC.
Doing business as
Ayaz Samadani MD Cambria
Practice address
306 E Edgewater St
Cambria, WI 53923-8809
Phone
(920) 348-5114
Fax
(920) 348-5113
NPI assigned
Jun 16, 2006
Last updated
Oct 29, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. MARYS DEAN VENTURES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Amy J Grinnell
Title
Chief Financial Office
Phone
(608) 260-3586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WI Primary

Addresses

Primary practice location

306 E Edgewater St
Cambria, WI 53923-8809

Mailing address

PO Box 24
Cambria, WI 53923-0024
Phone (920) 348-5114

Other names 1

  • AYAZ SAMADANI MD CAMBRIA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davis Duehr Dean- Portage4 organizations share this tax ID, including this one
Part of
Davis Duehr Dean- Portage

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1376587337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "CAMBRIA",
            "state": "WI",
            "postal_code": "539230024",
            "telephone_number": "920-348-5114",
            "fax_number": "920-348-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E EDGEWATER ST",
            "city": "CAMBRIA",
            "state": "WI",
            "postal_code": "539238809",
            "telephone_number": "920-348-5114",
            "fax_number": "920-348-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARYS DEAN VENTURES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. MARYS DEAN VENTURES INC.",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "GRINNELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICE",
        "authorized_official_telephone_number": "608-260-3586"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AYAZ SAMADANI MD CAMBRIA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AYAZ SAMADANI MD CAMBRIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambria, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.