MEDSOURCE MIDWEST L.L.C. (NPI# 1518155738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518155738 |
Entity Type | Organization |
Organization Name | MEDSOURCE MIDWEST L.L.C. |
Practice Address |
101 N South St Wilmington OH 45177-1646 |
Practice Telephone | 6143155115 |
Mailing Telephone | 6143155115 |
Enumeration Date | 2007-10-12 |
Last Update Date | 2007-10-12 |
Authorized Official Name | DAVID CROSSET WAGENSELLER (PRESIDENT/OWNER) |
Authorized Official Telephone | 6143155115 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 332B00000X | OH | Suppliers |
Street Address |
101 N SOUTH ST |
City | WILMINGTON |
State | OH |
Zip Code | 45177-1646 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093833402 | Kimberly Sue Neikirk | Physical Therapist | 101 N South St, Wilmington, OH 45177-1646 | 2007-03-26 |
1902924319 | Timothy John Mccormick | Physical Therapist | 101 N South St, Wilmington, OH 45177-1646 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710542220 | Kratzer Pharmacy Inc. | Pharmacy | 187 W Locust St, Wilmington, OH 45177 | 2019-05-09 |
1639642754 | Jerrica Kimber Smith | Physical Therapy Assistant | 175 Cape May Dr., Therapy Suite, Wilmington, OH 45177 | 2019-01-11 |
1083187280 | Heather Freytag | Physical Therapy Assistant | 175 Cape May Drive, Wilmington, OH 45177 | 2019-01-10 |
1740780865 | Greater Tomorrow Wellness, LLC | Physician Assistant | 1097 W Locust St, Wilmington, OH 45177 | 2018-02-15 |
1144632431 | Orion Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 4595 State Route 730, Wilmington, OH 45177 | 2014-05-21 |
1841546975 | Kathleen Michelle Miller | Nurse Practitioner | 610 West Main Street, Emergency Department, Wilmington, OH 45177 | 2012-07-26 |
1952693590 | John K Loudermilk Inc. | Dentist | 260 W. Locust St., Wilmington, OH 45177 | 2011-05-13 |
1619209475 | Premier Health Care LLC | Clinic/Center | 2845 Progress Way, Wilmington, OH 45177 | 2010-02-04 |
1417179474 | Larry Alan Howard | Specialist/Technologist | Wilmington College, 1870 Quaker Way, Box 1246, Wilmington, OH 45177 | 2007-05-02 |
1659494425 | Alan Robert Thompson | Chiropractor | 39 North South Street, Wilmington, OH 45177 | 2007-04-09 |
Find all providers in zip 45177 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659983880 | Linda Bernice Mccormick | Durable Medical Equipment & Medical Supplies | 200 Tyrone Ave, Wilmington, DE 19804-1929 | 2020-08-19 |
1861001133 | Emergeortho, P.a. | Durable Medical Equipment & Medical Supplies | 6019 Oleander Dr Ste 200, Wilmington, NC 28403-4813 | 2020-07-23 |
1740748342 | Atlantic Dme, LLC | Durable Medical Equipment & Medical Supplies | 1201 N Orange St Ste 7579, Wilmington, DE 19801-1382 | 2019-03-04 |
1649756602 | Dme Solutions | Durable Medical Equipment & Medical Supplies | 3953 Market St Unit B, Wilmington, NC 28403-1403 | 2018-07-12 |
1356836027 | Upward Mobility Solutions | Durable Medical Equipment & Medical Supplies | 1146 Shipyard Blvd, Wilmington, NC 28412-6439 | 2018-06-26 |
1699266387 | Brandywine Podiatry, Pa | Durable Medical Equipment & Medical Supplies | 5311 Limestone Rd Ste 200, Stoney Batter II, Wilmington, DE 19808 | 2018-05-29 |
1316438849 | Dasco Hme, LLC | Durable Medical Equipment & Medical Supplies | 1682 Alex Dr, Wilmington, OH 45177-1981 | 2018-05-21 |
1861919748 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 7144 Market St, Wilmington, NC 28411-9730 | 2017-08-23 |
1619413614 | Pinehurst Medical Equipment | Durable Medical Equipment & Medical Supplies | 3422 Old Capitol Trl, Suite 350-c, Wilmington, DE 19808-6124 | 2017-01-13 |
1770028094 | Beatmed Inc | Durable Medical Equipment & Medical Supplies | 4023 Kennett Pike Ste 54842, Wilmington, DE 19807-2018 | 2016-12-22 |
Find all providers in WILMINGTON |
City | WILMINGTON |
Zip Code | 45177 |
Please comment or provide details below to improve the information on MEDSOURCE MIDWEST L.L.C..
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.