WILLIE ANDREW GASTON (NPI# 1093360935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093360935 |
Entity Type | Individual |
Full Name | WILLIE ANDREW GASTON |
Practice Address |
31549 Michigan Ave Wayne MI 48184-1414 |
Practice Telephone | 7347226469 |
Practice Fax Number | 7347228959 |
Mailing Telephone | 7347226469 |
Mailing Fax Number | 7347228959 |
Enumeration Date | 2019-08-07 |
Last Update Date | 2019-08-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
Street Address |
31549 MICHIGAN AVE |
City | WAYNE |
State | MI |
Zip Code | 48184-1414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215570932 | Wayne Rx | Pharmacy | 4603 Wayne Rd, Wayne, MI 48184 | 2019-10-25 |
1669902433 | Randi Oswald | Massage Therapist | 34336 Richard St., Wayne, MI 48184 | 2017-06-14 |
1306393822 | Amanda Anastasoff | Technician, Other | 35640 West Michigan Avenue, Wayne, MI 48184 | 2016-09-01 |
1871941302 | Christopher Schrimscher | Technician, Other | 34560 Michigan Avenue W, Wayne, MI 48184 | 2016-05-25 |
1659757334 | Anna Bondy | Technician, Other | 35640 Michigan Ave. West, Wayne, MI 48184 | 2015-08-05 |
1992184550 | Carrie Walrath | Community Health Worker | 4234 Niagara, Wayne, MI 48184 | 2015-05-28 |
1588043459 | Suzanne Cutlip | Case Manager/Care Coordinator | 35425 Michigan Ave. W. Suite 1, Wayne, MI 48184 | 2015-05-26 |
1285021295 | Alicia Allen | Technician, Other | 35640 Michigan Avenue West, Wayne, MI 48184 | 2015-04-17 |
1164843850 | Julia Krivoy | Nurse Anesthetist, Certified Registered | 33155 Annapolis St., Beaumont/oakwood Hospital - Wayne, Wayne, MI 48184 | 2013-12-23 |
1992130553 | One Stop Pharmacy LLC | Pharmacy | 33950 Van Born Rd, Wayne, MI 48184 | 2013-09-13 |
Find all providers in zip 48184 |
Taxonomy Code | 332BC3200X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Customized Equipment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851684195 | Alliance Hand and Physical Therapy, P.C. | Durable Medical Equipment & Medical Supplies | 524 Hamburg Tpke, Wayne, NJ 07470-2036 | 2011-05-19 |
1831234186 | Richmar Health Care Assoc., LLC | Durable Medical Equipment & Medical Supplies | 516 Hamburg Turnpke, Suite 10, Wayne, NJ 07470 | 2007-02-21 |
1891882742 | Advantage Mobility Outfitters | Durable Medical Equipment & Medical Supplies | 3990 2nd St, Wayne, MI 48184-1758 | 2006-10-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679189104 | Michigan Center for Tmj and Sleep Wellness | Durable Medical Equipment & Medical Supplies | 4550 Investment Dr Ste 290, Troy, MI 48098-6362 | 2020-09-21 |
1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
1124645502 | Wendell D Lawrence Dds Pllc | Durable Medical Equipment & Medical Supplies | 25865 W 12 Mile Rd Ste C-109, Southfield, MI 48034-1817 | 2020-07-01 |
1447873252 | Lilliana Kostinski Dds Pllc | Durable Medical Equipment & Medical Supplies | 706 W Sharon Ave Ste 3, Houghton, MI 49931-1970 | 2020-05-27 |
1699397158 | Aging In My Place Mobility Services LLC | Durable Medical Equipment & Medical Supplies | 3819 Clintonville Road, Waterford, MI 48329-2418 | 2020-05-07 |
1154972644 | Tj Rampit Usa, Inc. | Durable Medical Equipment & Medical Supplies | 338 Bidwell Rd, Coldwater, MI 49036-9238 | 2019-09-25 |
1699247544 | Colburn Dds PC Tt | Durable Medical Equipment & Medical Supplies | 3535 Park St Ste 100, Norton Shores, MI 49444-3736 | 2018-12-17 |
1316433808 | Juvedia Tracey White | Durable Medical Equipment & Medical Supplies | 3085 Bay Rd Ste 8, Saginaw, MI 48603-2405 | 2018-07-08 |
1669963849 | Mercy Medical Equpment,inc | Durable Medical Equipment & Medical Supplies | 3812 Trade Center Dr, Ann Arbor, MI 48108-2071 | 2018-05-23 |
1548751746 | Integrative Rehabilitation Medical LLC | Durable Medical Equipment & Medical Supplies | 1515 Michigan St Ne Ste 115, Grand Rapids, MI 49503-2031 | 2018-05-23 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.