NPIMap

Organization Active NPI

51 Mdos

  • Clinic/Center
National Provider Identifier
1770556284
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
51 MDOS
Practice address
51 Mdos
PSC 3 Box 2652
Apo, AP 96266
KR
Phone
(315) 874-7473
NPI assigned
Feb 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Lamunyon, PA-CERTIFIEDNPI 1992979355
Title
Physician Assistant
Phone
(315) 784-7473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X AZ Primary

Addresses

Primary practice location

51 Mdos
PSC 3 Box 2652
Apo, AP 96266
KR

Mailing address

2353 N 123Rd Dr
Avondale, AZ 85323-6500
Phone (623) 535-8432

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770556284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 N 123RD DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853236500",
            "telephone_number": "623-535-8432"
        },
        {
            "country_code": "KR",
            "country_name": "Korea, Republic of",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "51 MDOS",
            "address_2": "PSC 3 BOX 2652",
            "city": "APO",
            "state": "AP",
            "postal_code": "96266",
            "telephone_number": "315-874-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "51 MDOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAMUNYON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "315-784-7473",
        "authorized_official_credential": "PA-CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.