WEST MEDICAL GROUP LLC (NPI# 1952682445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952682445 |
| Entity Type | Organization |
| Organization Name | WEST MEDICAL GROUP LLC |
| Practice Address |
2119 Riverwalk Dr #172 Moore OK 73160-2700 |
| Mailing Address |
2119 Riverwalk Dr Moore OK 73160-2700 |
| Practice Telephone | 4057590661 |
| Practice Fax Number | 4057358585 |
| Mailing Telephone | 4057590661 |
| Mailing Fax Number | 4057358585 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2011-08-29 |
| Authorized Official Name | MR. ALBERT WEST (CEO) |
| Authorized Official Telephone | 4057590661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
2119 RIVERWALK DR #172 |
| City | MOORE |
| State | OK |
| Zip Code | 73160-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678576 | Crystal Amanda Pitts | Student in an Organized Health Care Education/Training Program | 628 Allison Ln, Moore, OK 73160 | 2020-01-14 |
| 1982247623 | Tammie Lee Haworth | Occupational Therapy Assistant | Quest, 400 N Eastern Ave, Moore, OK 73160 | 2019-10-25 |
| 1477102580 | Php Management Group, LLC | Non-Pharmacy Dispensing Site | 1110 Magnolia Court, Moore, OK 73160 | 2019-09-11 |
| 1477117893 | Pharmology Moore LLC | Pharmacy | 1280 N Eastern Ave, Suite F, Moore, OK 73160 | 2019-05-01 |
| 1154891943 | Leah Cordell | Nurse Practitioner | 1280 North Eastern Ave., Suite F, Moore, OK 73160 | 2018-12-05 |
| 1467962332 | Healthcare Express, LLP | Clinic/Center | 551 Se 4th Street, Moore, OK 73160 | 2017-10-05 |
| 1306379557 | Dicarlo Venegas | Behavior Technician | 716 Wood Hollow Ln, Moore, OK 73160 | 2017-04-05 |
| 1073050167 | Tyron Dorrell Cosby Sr. | Case Manager/Care Coordinator | 1416 Penn Ln., Moore, OK 73160 | 2017-01-26 |
| 1326592650 | Kristin Kelley | Counselor | 1113 S Avery Dr, Moore, OK 73160 | 2016-08-03 |
| 1376912600 | Allison Kay Griffiths | Counselor | 9501 S. I-35 Service Rd, Apt 1504, Moore, OK 73160 | 2015-09-16 |
| Find all providers in zip 73160 | ||||
| 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 |
|---|---|---|---|---|
| 1023632122 | Craig Mathew Hall | Durable Medical Equipment & Medical Supplies | 2540 N Moore Ave, Moore, OK 73160-3328 | 2020-06-04 |
| 1497207435 | Corneluis Mathews | Durable Medical Equipment & Medical Supplies | 604 Loyd Ln, Moore, OK 73160-4531 | 2016-10-25 |
| 1235520057 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 1705 S Broadway St, Moore, OK 73160-5364 | 2015-02-16 |
| 1154601417 | Albert West | Durable Medical Equipment & Medical Supplies | 1404 Jordan Dr, Moore, OK 73160-0833 | 2011-08-18 |
| 1568756963 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 720 Sw 19th St, Moore, OK 73160-2941 | 2011-06-02 |
| 1447424676 | First Look Eyewear LLC | Durable Medical Equipment & Medical Supplies | 2909 S Telephone Road, Moore, OK 73160-2937 | 2008-04-18 |
| 1174694228 | Sherry Ann Perry | Durable Medical Equipment & Medical Supplies | 631 Nw 7th St, New City Shopping Center, Moore, OK 73160-3803 | 2006-11-12 |
| 1386748119 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1040 Sw 19th St, Moore, OK 73160-2806 | 2006-09-12 |
| 1861407827 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1201 Nw 12th St, Moore, OK 73170-1220 | 2006-07-29 |
| 1235144205 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1229 N Eastern Ave, Moore, OK 73160-5860 | 2006-07-29 |
| Find all providers in MOORE | ||||
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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.