MEDSOURCE MIDWEST, LLC (NPI# 1790093466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790093466 |
| Entity Type | Organization |
| Organization Name | MEDSOURCE MIDWEST, LLC |
| Other Organization Name | WAGENSELLER & COMPANY |
| Practice Address |
71 S Almondell Cir Magnolia TX 77354-3373 |
| Mailing Address |
6315 Fm 1488 Rd Ste B Box 244 Magnolia TX 77354-2526 |
| Practice Telephone | 8323343773 |
| Mailing Telephone | 8323343773 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2011-08-16 |
| Authorized Official Name | MR. DAVID WAGENSELLER (OWNER) |
| Authorized Official Telephone | 8323343773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Wagenseller & Company | Other Name - Individual/Organization |
| Street Address |
71 S ALMONDELL CIR |
| City | MAGNOLIA |
| State | TX |
| Zip Code | 77354-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225646771 | Alex Chu | Dentist | 4849 Farm To Market Rd 1488, Suite #800, Magnolia, TX 77354 | 2020-07-21 |
| 1548886948 | Alexander M Beltran | Dentist | 18640 Farm To Market Rd 1488, Suite I, Magnolia, TX 77354 | 2020-06-22 |
| 1710524079 | Keegen Jonelle Barboo | Physician Assistant | 6022 Farm To Market Rd, 1488, Magnolia, TX 77354 | 2019-12-05 |
| 1467097931 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 5667 Fm 1488, Magnolia, TX 77354 | 2019-11-08 |
| 1942854583 | Mava Healthcare System LLC | Clinic/Center | 18230 Fm 1488 Suite 201, Magnolia, TN 77354 | 2019-08-01 |
| 1861909855 | Hays Nichols | Physical Therapy Assistant | Grand Estates 30000 Fm 2978, Apt 532, Magnolia, TX 77354 | 2017-12-29 |
| 1417492620 | Yos Healthcare Services Inc | Home Health | 15 Springtime Creek Dr., The Woodlands, TX 77354 | 2016-12-23 |
| 1205210929 | Kenneth Kim | Dentist | 6519 Fm 1488, Westwood Village, #505, Magnolia, TX 77354 | 2015-07-13 |
| 1861813438 | Sandstone Chiropractic Magnolia, Pllc | Chiropractor | 6875 Fm 1488, Suite 1300, Magnolla, TX 77354 | 2013-12-26 |
| 1467897447 | America's Er Site 001, LLC | Clinic/Center | 32784 Fm 2978, Suite A, Magnolia, TX 77354 | 2013-05-06 |
| Find all providers in zip 77354 | ||||
| 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 |
|---|---|---|---|---|
| 1124556618 | F&h Solutions LLC | Durable Medical Equipment & Medical Supplies | 33300 Egypt Ln Ste I100, Magnolia, TX 77354-3658 | 2017-05-26 |
| 1437549318 | Strive Medical, LLC | Durable Medical Equipment & Medical Supplies | 100 E North St Ste 10, Magnolia, AR 71753-2898 | 2015-01-29 |
| 1104216274 | Ready Decks of Houston | Durable Medical Equipment & Medical Supplies | 25730 Bridle Fls, Magnolia, TX 77355-5889 | 2015-01-28 |
| 1487901047 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 18850 Fm 1488 Rd, Magnolia, TX 77355-5231 | 2012-08-13 |
| 1093022204 | Apex Cpap Services | Durable Medical Equipment & Medical Supplies | 12110 Pecan Grove Cir # A, Magnolia, TX 77354-2890 | 2010-09-09 |
| 1235321332 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1644 E Main St, Magnolia, AR 71753-3804 | 2007-08-13 |
| 1760555296 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 6616 Fm 1488 Rd, Magnolia, TX 77354-1399 | 2006-11-15 |
| 1699784454 | Implantable System's, Inc | Durable Medical Equipment & Medical Supplies | 19935 Country Lake Dr, Magnolia, TX 77355-4936 | 2006-08-07 |
| 1770598682 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6707 Fm 1488 Rd, Magnolia, TX 77354-1534 | 2006-07-29 |
| 1437164423 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 N White Horse Pike, Magnolia, NJ 08049 | 2006-07-29 |
| Find all providers in MAGNOLIA | ||||
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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.