Organization Active NPI

Schryver Medical Sales and Marketing LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Phoenix, AZ
National Provider Identifier
1992742548
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
20067899 Issued in AZ
Legal business name
SCHRYVER MEDICAL SALES AND MARKETING LLC
Practice address
5050 S 40TH St
Phoenix, AZ 85040-2902
Phone
(602) 426-0126
Fax
(303) 785-9283
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Authorized official

Name
Mr. Doug Goetz
Title
Ceo
Phone
(303) 371-0073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 20067899 AZ Primary

Addresses

Primary practice location

5050 S 40TH St
Phoenix, AZ 85040-2902

Mailing address

12075 E 45TH Ave
Suite 600
Denver, CO 80239-3123
Phone (303) 371-0073

Other identifiers 2

IdentifierTypeStateIssuer
675809OtherCOBLUE CROSS
936825MedicaidAZ

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1992742548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12075 E 45TH AVE",
            "address_2": "SUITE 600",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802393123",
            "telephone_number": "303-371-0073",
            "fax_number": "303-785-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 S 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402902",
            "telephone_number": "602-426-0126",
            "fax_number": "303-785-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHRYVER MEDICAL SALES AND MARKETING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "GOETZ",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "303-371-0073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "AZ",
            "license": "20067899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "675809",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "936825",
            "state": "AZ"
        }
    ],
    "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 Oct 10, 2014; 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.