Organization Active NPI

Criterion Medical Corporation

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
National Provider Identifier
1972689412
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CRITERION MEDICAL CORPORATION
Practice address
3632 E South Fork Dr
Phoenix, AZ 85044-6614
Phone
(800) 608-9491
Fax
(480) 706-6582
NPI assigned
Oct 27, 2006
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
Mr. Raymond M. Lewis
Title
President
Phone
(800) 608-9491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3632 E South Fork Dr
Phoenix, AZ 85044-6614

Mailing address

3632 E South Fork Dr
Phoenix, AZ 85044-6614
Phone (800) 608-9491

Other identifiers 2

IdentifierTypeStateIssuer
D4317790001OtherUNITED AMERICAN INSURANCE
41730200MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972689412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 E SOUTH FORK DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446614",
            "telephone_number": "800-608-9491",
            "fax_number": "480-706-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 E SOUTH FORK DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850446614",
            "telephone_number": "800-608-9491",
            "fax_number": "480-706-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITERION MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-608-9491",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED AMERICAN INSURANCE",
            "identifier": "D4317790001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41730200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.