Organization Active NPI

Airwaze LLC

  • Durable Medical Equipment & Medical Supplies
  • Dunmore, PA
National Provider Identifier
1609696061
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AIRWAZE LLC
Practice address
1505 Monroe Ave
Dunmore, PA 18509-2443
Phone
(941) 350-0446
NPI assigned
Oct 11, 2024
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Mr. Robert FlannellyNPI 1104299205
Title
LLC Member
Phone
(941) 350-0446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1505 Monroe Ave
Dunmore, PA 18509-2443

Mailing address

1502 Dorgali Dr
Sarasota, FL 34238-2836
Phone (941) 350-0446

Other names 1

  • Airwaze Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1609696061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 DORGALI DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382836",
            "telephone_number": "941-350-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 MONROE AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092443",
            "telephone_number": "941-350-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRWAZE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "FLANNELLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "941-350-0446",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Airwaze",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dunmore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.