Richard Mogull, PARAMEDIC

Primary specialty

ParamedicTaxonomy code 146L00000X

License

P00090800 Issued in AZ

Practice address

3640 E Louise Dr
Phoenix, AZ 85050-8312

Phone

(303) 818-7585

NPI assigned

May 19, 2020

Last updated

May 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1659994127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 E LOUISE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850508312",
            "telephone_number": "303-818-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 E LOUISE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850508312",
            "telephone_number": "303-818-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Kayenta Health Center",
            "address_2": "HWY 160 M.P. 394.3",
            "address_purpose": "LOCATION",
            "city": "Kayenta",
            "state": "AZ",
            "postal_code": "86033",
            "country_code": "US",
            "telephone_number": "928-697-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGULL",
        "first_name": "RICHARD",
        "credential": "PARAMEDIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "AZ",
            "license": "P00090800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Paramedic in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Paramedic in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.