PA Healthcare

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PA HEALTHCARE

Practice address

10750 W McDowell Rd
Avondale, AZ 85392-5960

Phone

(800) 931-0409

Fax

(888) 502-2754

NPI assigned

Jun 23, 2016

Last updated

Jun 23, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

PA HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Charles Burress

Title

General Manager

Phone

(800) 931-0409

Specialties & licenses 1

Addresses

Tax ID family

PA Healthcare2 organizations share this tax ID, including this one

Part of

PA Healthcare

Other organizations with this tax ID 1

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

• PA Healthcare Pharmaceutical Company

  • Durable Medical Equipment & Medical Supplies
  • Zephyrhills, FL
  • NPI 1205334109
  NPD tax ID

Locations

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1457702219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10750 W MCDOWELL RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10750 W MCDOWELL RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925960",
            "telephone_number": "800-931-0409",
            "fax_number": "888-502-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PA HEALTHCARE",
        "enumeration_date": "2016-06-23",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "BURRESS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "800-931-0409"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Tomas Ovalle, PA-C
• Mariea D Overton, MSW
• David Owens
• Tatiyanna Owens
• Kaitlyn Barbara Oyague
• Ciana Pacheco
• Krystyna Pagel
• Jennifer Lynn Pahl, BS SLP
• Paincare Health Institute LLC
• Paincare Health Institute LLC

• Durable Medical Equipment & Medical Supplies in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.