Baseline Distributing, LLC

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

Legal business name

BASELINE DISTRIBUTING, LLC

Practice address

920 E Harwell Rd
Phoenix, AZ 85042-6605

Phone

(602) 908-2667

NPI assigned

Apr 18, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Dean Palmer

Title

Manager

Phone

(602) 908-2667

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Medina, M.D.

  • Vascular & Interventional Radiology Physician
  • Scottsdale, AZ
  • NPI 1093764722

  Diagnostic Ultrasound

  NPD (past)

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1578853065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E HARWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426605",
            "telephone_number": "602-908-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E HARWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850426605",
            "telephone_number": "602-908-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASELINE DISTRIBUTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-18",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-908-2667",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "625277",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Rose Baryla, DDS
• Basami House,LLC
• Basami House,LLC
• Amy Basch, FNP-C
• Baseline Dental, PC
• Baseline Pain Management
• Baseline Pharmacy
• Baseline Psychiatry PLC (Baseline Psychiatry)
• Deborah S Bash, M.D.
• Faran Bashir, M.D.

• Diagnostic Ultrasound Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Diagnostic Ultrasound Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.