NPIMap

Organization Active NPI

Appalachian Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Lexington, KY
National Provider Identifier
1033797246
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
APPALACHIAN MEDICAL LLC
Practice address
161 Burt Rd
Lexington, KY 40503-2410
Phone
(304) 345-8501
Fax
(304) 345-8500
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Authorized official

Name
Mary Arietta Wiseman
Title
Member
Phone
(304) 345-8501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

161 Burt Rd
Lexington, KY 40503-2410

Mailing address

1025 Main St
Milton, WV 25541-1215
Phone (304) 345-8501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250305001194 KY DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 5991052565 Practice locations: Lexington, KY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Appalachian Medical LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

161 Burt Rd
Lexington, KY 40503
Phone (859) 276-0335

161 Burt Rd
Ste 1
Lexington, KY 40503
Phone (304) 345-8501

418 Virginia St W
Charleston, WV 25302
Phone (304) 345-8501

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1033797246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MAIN ST",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "255411215",
            "telephone_number": "304-345-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 BURT RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032410",
            "telephone_number": "304-345-8501",
            "fax_number": "304-345-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ARIETTA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-345-8501"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.