Ascend Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DME3776 Issued in ID

Legal business name

ASCEND MEDICAL LLC

Practice address

7677 W Emerald St
Boise, ID 83704

Phone

(208) 321-1800

NPI assigned

Feb 10, 2015

Last updated

Jun 18, 2018By 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

Gus Papanikolas

Title

Owner

Phone

(208) 871-5151

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1750772869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7677 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049018",
            "telephone_number": "208-321-1800",
            "fax_number": "208-391-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83704",
            "telephone_number": "208-321-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCEND MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "PAPANIKOLAS",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-871-5151"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": "DME3776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ascent Medical Transport, LLC
• Jonathan Zachary Asdell
• Kirsten Michelle Ash, DPT

• Durable Medical Equipment & Medical Supplies in Boise, ID
• Providers in Boise, ID by specialty
• Durable Medical Equipment & Medical Supplies in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.