Organization Active NPI

Raphael Medical Company, LLC

  • Durable Medical Equipment & Medical Supplies
  • Peoria, AZ
National Provider Identifier
1659404739
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RAPHAEL MEDICAL COMPANY, LLC
Practice address
13660 N 94TH Dr
Suite A4
Peoria, AZ 85381-4836
Phone
(480) 348-5504
Fax
(602) 548-8793
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas D. Hamm
Title
President
Phone
(480) 348-5504

Specialties & licenses 1

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

Addresses

Primary practice location

13660 N 94TH Dr
Suite A4
Peoria, AZ 85381-4836

Mailing address

7119 E Shea Blvd
Suite 109511
Scottsdale, AZ 85254-6107
Phone (480) 348-5504

National Provider Directory

National Provider Directory

Locations

13660 N 94th Dr
Ste A4
Peoria, AZ 85381
Phone (480) 348-5504

7119 E Shea Blvd
Ste 109511
Scottsdale, AZ 85254

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659404739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 E SHEA BLVD",
            "address_2": "SUITE 109511",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546107",
            "telephone_number": "480-348-5504",
            "fax_number": "602-548-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13660 N 94TH DR",
            "address_2": "SUITE A4",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814836",
            "telephone_number": "480-348-5504",
            "fax_number": "602-548-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL MEDICAL COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-348-5504",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.