Apache Oxy-Med Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

07259721 Issued in AZ

Legal business name

APACHE OXY-MED INC

Doing business as

dba Sunrise Health

Practice address

105 N Pasadena St
Gilbert, AZ 85233-5013

Phone

(480) 926-0133

Fax

(480) 926-6377

NPI assigned

May 19, 2006

Last updated

Feb 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Tarik M Shirif

Title

President/Ceo

Phone

(480) 926-0133

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• dba Sunrise Health Doing business as

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1710930599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N PASADENA ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335013",
            "telephone_number": "480-926-0133",
            "fax_number": "480-926-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N PASADENA ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335013",
            "telephone_number": "480-926-0133",
            "fax_number": "480-926-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APACHE OXY-MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "SHIRIF",
        "authorized_official_first_name": "TARIK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "480-926-0133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AZ",
            "license": "07259721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "923567",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF AZ",
            "identifier": "AZ0039710",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Sunrise Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.