Active NPI
Medical DME Partners LLC
- Sports Medicine (Family Medicine) Physician
- Chandler, AZ
National Provider Identifier
1740854702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- Legal business name
- MEDICAL DME PARTNERS LLC
- Practice address
- 4910 W Ray Rd Ste 1
Chandler, AZ 85226-6221 - Phone
- (480) 710-4897
- NPI assigned
- May 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jim Rossie
- Title
- Manager
- Phone
- (602) 881-9560
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | Primary |
Addresses
Primary practice location
4910 W Ray Rd Ste 1
Chandler, AZ 85226-6221
Mailing address
7904 E Chaparral Rd Ste A110-475
Scottsdale, AZ 85250-7370
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620950400000",
"number": "1740854702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7904 E CHAPARRAL RD STE A110-475",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852507370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 W RAY RD STE 1",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852266221",
"telephone_number": "480-710-4897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL DME PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-14",
"last_updated": "2021-05-14",
"certification_date": "2021-05-14",
"status": "A",
"authorized_official_last_name": "ROSSIE",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "602-881-9560"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.