Active NPI
Pro American Medical Supplies
Doing business as Pro Am Med
- Customized Equipment (DME)
- Phoenix, AZ
National Provider Identifier
1972239994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- Legal business name
- PRO AMERICAN MEDICAL SUPPLIES
- Doing business as
- Pro Am Med
- Practice address
- 2001 W Rose Garden LN
Phoenix, AZ 85027-2615 - Phone
- (602) 430-8647
- NPI assigned
- Aug 1, 2022
- 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
- Ms. Alison McIlroy
- Title
- Partner
- Phone
- (602) 430-8647
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Customized Equipment (DME) | 332BC3200X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
2001 W Rose Garden LN
Phoenix, AZ 85027-2615
Mailing address
7354 E Baker Dr
Scottsdale, AZ 85266-1891
Phone (602) 430-8647
Other names 1
- PRO AM MED
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230308002414 | AZ | DME Supplier - Medical Supply Company | 3476926601 | Practice locations: Phoenix, AZ |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pro American Medical Supplies | Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Does not accept assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669334400000",
"number": "1972239994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7354 E BAKER DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852661891",
"telephone_number": "602-430-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W ROSE GARDEN LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850272615",
"telephone_number": "602-430-8647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO AMERICAN MEDICAL SUPPLIES",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-01",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"status": "A",
"authorized_official_last_name": "MCILROY",
"authorized_official_first_name": "ALISON",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "602-430-8647",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PRO AM MED",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.