Organization Active NPI

Medpros of the Treasure Coast

Doing business as iON My Health

  • Durable Medical Equipment & Medical Supplies
  • Broomfield, CO
National Provider Identifier
1609386036
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
20176000941 Issued in CO
Legal business name
MEDPROS OF THE TREASURE COAST
Doing business as
iON My Health
Practice address
7050 W 120TH Ave Unit 10
Broomfield, CO 80020-7602
Phone
(800) 660-7097
Fax
(877) 234-5340
NPI assigned
Oct 12, 2017
Organization subpart
Yes
Parent organization
MEDPROS OF THE TREASURE COAST INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Authorized official

Name
Morgan G Tatum
Title
President/Authorized Official
Phone
(800) 660-7094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 20176000941 CO Primary

Addresses

Primary practice location

7050 W 120TH Ave Unit 10
Broomfield, CO 80020-7602

Mailing address

7050 W 120TH Ave Unit 10
Broomfield, CO 80020-7602
Phone (800) 660-7097

Other identifiers 1

IdentifierTypeStateIssuer
20176000941OtherCODME SUPPLIER LICENSE

Other names 1

  • iON My Health Doing business as

National Provider Directory

National Provider Directory
Part of
Medpros of the Treasure Coast

Locations

7050 W 120th Ave
Unit 10
Broomfield, CO 80020
Phone (800) 660-7097

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1609386036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 W 120TH AVE UNIT 10",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207602",
            "telephone_number": "800-660-7097",
            "fax_number": "877-234-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 W 120TH AVE UNIT 10",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800207602",
            "telephone_number": "800-660-7097",
            "fax_number": "877-234-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPROS OF THE TREASURE COAST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDPROS OF THE TREASURE COAST INC",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "TATUM",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "800-660-7094"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "20176000941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER LICENSE",
            "identifier": "20176000941",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iON My Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.