Phoenix Medical Supply, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

06819C Issued in MI

Legal business name

PHOENIX MEDICAL SUPPLY, INC.

Practice address

40000 Grand River Ave Ste 306
Novi, MI 48375-2137

Phone

(248) 354-5200

Fax

(248) 354-9638

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lillie M Norris

Title

Owner

Phone

(248) 354-5200

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788652800000",
    "number": "1881623627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23370 COMMERCE DR STE 2",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352726",
            "telephone_number": "248-354-5200",
            "fax_number": "248-354-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40000 GRAND RIVER AVE STE 306",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483752137",
            "telephone_number": "248-354-5200",
            "fax_number": "248-354-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-354-5200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MI",
            "license": "06819C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4315376",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "540F301900",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Phillips
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• Kevin Phipps
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• Physicians Transportation
• Physiotherapy Associates Inc
• Lisa Picard

• Oxygen Equipment & Supplies (DME) in Novi, MI
• Providers in Novi, MI by specialty
• Oxygen Equipment & Supplies (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.