Active NPI
Sonoran Medical Supplies, LLC Dba Maddox Medical LLC
Doing business as Maddox Medical LLC
- Durable Medical Equipment & Medical Supplies
- Coolidge, AZ
National Provider Identifier
1801470612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SONORAN MEDICAL SUPPLIES, LLC DBA MADDOX MEDICAL LLC
- Doing business as
- Maddox Medical LLC
- Practice address
- 1044 N Arizona Blvd
Coolidge, AZ 85128-3727 - Phone
- (480) 256-8871
- NPI assigned
- May 7, 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
- Gus Pantelides
- Title
- Owner
- Phone
- (480) 256-8871
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
1044 N Arizona Blvd
Coolidge, AZ 85128-3727
Mailing address
1044 N Arizona Blvd
Coolidge, AZ 85128-3727
Other names 1
- Maddox Medical LLC
National Provider Directory
National Provider DirectoryLocations
1044 N Arizona Blvd
Coolidge, AZ 85128
Phone (480) 256-8871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773100800000",
"number": "1801470612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 N ARIZONA BLVD",
"city": "COOLIDGE",
"state": "AZ",
"postal_code": "851283727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 N ARIZONA BLVD",
"city": "COOLIDGE",
"state": "AZ",
"postal_code": "851283727",
"telephone_number": "480-256-8871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONORAN MEDICAL SUPPLIES, LLC DBA MADDOX MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-07",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A",
"authorized_official_last_name": "PANTELIDES",
"authorized_official_first_name": "GUS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-256-8871"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maddox Medical LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coolidge, AZ
- Charles Segovia Jr.
- Caroline Simms
- Terhea A Smith
- Solid Foundations for Life, LLC
- Sonoran Family Practice
- Sarah Marie Sorensen, COTA/L
- Southwestern Eye Center LTD (Southwestern Eye Center-Coolidge Optical)
- Stepping Stone Behavioral Health Services
- Sun Life Family Health Center, Inc. (Sun Life Family Health Center)
- Sunset Sky Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.