Evasyl Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20108721 Issued in AZ

Legal business name

EVASYL MEDICAL SUPPLY

Practice address

950 W Birchwood Ave
1
Mesa, AZ 85210-8447

Phone

(480) 615-1900

Fax

(480) 615-1926

NPI assigned

May 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Udoamaka Obiekea

Title

Owner

Phone

(480) 615-1900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518918796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W BIRCHWOOD AVE",
            "address_2": "1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852108447",
            "telephone_number": "480-615-1900",
            "fax_number": "480-615-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W BIRCHWOOD AVE",
            "address_2": "1",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852108447",
            "telephone_number": "480-615-1900",
            "fax_number": "480-615-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVASYL MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OBIEKEA",
        "authorized_official_first_name": "UDOAMAKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-615-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "20108721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Mesa, AZ
• Providers in Mesa, 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 Aug 22, 2020; 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.