Mark Aganon
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Scottsdale, AZ
NPI 1699442012 · NPPES record last updated Aug 24, 2021
Key facts
- NPI
- 1699442012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Practice address
- 7914 E Oak St
Scottsdale, AZ 85257-2218 - Phone
- (480) 206-4359
- NPI assigned
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | AZ | Yes |
Addresses
Primary practice location
7914 E Oak St
Scottsdale, AZ 85257-2218
Mailing address
7914 E Oak St
Scottsdale, AZ 85257-2218
Phone (480) 206-4359
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- Ageless Secret
All providers in Scottsdale, AZ · Non-emergency Medical Transport (VAN) in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.