Medical Super Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL SUPER CENTER

Practice address

6704 E Broadway Rd
D4
Mesa, AZ 85206-1724

Phone

(480) 924-5914

Fax

(480) 924-5984

NPI assigned

Sep 14, 2010

Last updated

Sep 14, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDASSURE INCAs reported in NPPES

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

Authorized official

Name

Karen Martin

Title

VP

Phone

(602) 470-9700

Specialties & licenses 1

Addresses

Part of

Medical Super Center

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medassure, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Phoenix, AZ
  • NPI 1548252356
  NPPES parent name

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1558679423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5246 S 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850409009",
            "telephone_number": "602-470-9700",
            "fax_number": "602-454-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 E BROADWAY RD",
            "address_2": "D4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061724",
            "telephone_number": "480-924-5914",
            "fax_number": "480-924-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPER CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDASSURE INC",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "602-470-9700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical 911 LLC
• Medical Aid Corporation
• Medical Flight Services, LLC
• Medical Mall of Arizona
• Medical Offices of John Deangelis (Pain Limited)
• Medical Transport Company (MTC of Arizona)
• Medicus Advanced Wound Solutions, PLLC
• Andrew G Medina, MA, LBA, BCBA
• Kaylee Medina
• Litzy Medina

• 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 Sep 14, 2010; 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.