Active NPI
Medpros of the Treasure Coast
Doing business as iON My Health
- Durable Medical Equipment & Medical Supplies
- Broomfield, CO
National Provider Identifier
1609386036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 20176000941
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20176000941 | Other | CO | DME SUPPLIER LICENSE |
Other names 1
- iON My Health
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.