Active NPI
Medassure Inc
- Oxygen Equipment & Supplies (DME)
- Prescott, AZ
National Provider Identifier
1841628609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 5519108
- Legal business name
- MEDASSURE INC
- Practice address
- 3739 Karicio LN
Suite a
Prescott, AZ 86303-6819 - Phone
- (928) 237-1590
- Fax
- (928) 237-4636
- NPI assigned
- Oct 14, 2013
- Organization subpart
- Yes
- Parent organization
- MEDASSURE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mel Haara
- Title
- President
- Phone
- (602) 470-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 5519108 | AZ | Primary |
Addresses
Primary practice location
3739 Karicio LN
Suite a
Prescott, AZ 86303-6819
Mailing address
3739 Karicio LN
Suite a
Prescott, AZ 86303-6819
Phone (928) 237-1590
National Provider Directory
National Provider Directory- Part of
- Medassure Inc
Locations
6704 E Broadway Rd
Ste D4
Mesa, AZ 85206
Phone (480) 924-5914
3739 Karicio Ln
Ste A
Prescott, AZ 86303
Phone (928) 237-1590
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Oxygen Equipment & Supplies (DME)
- Phoenix, AZ
- NPI 1548252356
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Vancouver, WA
- NPI 1265164198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381708800000",
"number": "1841628609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3739 KARICIO LN",
"address_2": "SUITE A",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863036819",
"telephone_number": "928-237-1590",
"fax_number": "928-237-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3739 KARICIO LN",
"address_2": "SUITE A",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863036819",
"telephone_number": "928-237-1590",
"fax_number": "928-237-4636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDASSURE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDASSURE INC",
"enumeration_date": "2013-10-14",
"last_updated": "2013-10-14",
"status": "A",
"authorized_official_last_name": "HAARA",
"authorized_official_first_name": "MEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "602-470-9700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "AZ",
"license": "5519108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.