Waterstone Acquisition, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WATERSTONE ACQUISITION, LLC

Doing business as

Pinnacle HME

Practice address

2341 W Beaver Creek Dr
Powell, TN 37849-4831

Phone

(800) 355-7774

NPI assigned

Jan 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joel Edward Segar

Title

Chief Executive Officer

Phone

(423) 463-9929

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Pinnacle HME Doing business as

Locations

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1043298409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 W BEAVER CREEK DR",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494831",
            "telephone_number": "800-355-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2341 W BEAVER CREEK DR",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494831",
            "telephone_number": "800-355-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERSTONE ACQUISITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "SEGAR",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "423-463-9929",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OH - DME LICENSE",
            "identifier": "HMER-23311-HQAA",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN - DME LICENSE",
            "identifier": "1185",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454915",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF AZ - DME LICENSE",
            "identifier": "C001080",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF LA - DME LICENSE",
            "identifier": "DME 000556",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IN - DME LICENSE",
            "identifier": "69001212A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle HME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Ray Walker Jr., RPH
• Whitney Johnson Walker, PHARM.D.
• Michael Dwayne Wall, PA, ATC, PTA, CEAS
• Katie Rochelle Walsh, FNP
• Carey Madison Walter, DNP, CRNA
• Lauren Smith Watkins
• Timothy B Watson, M.D.
• Jacob McKinley Weakley, DMD
• Roland B. Weast, M.D.
• Whitney Morgan Webb, BA

• Durable Medical Equipment & Medical Supplies in Powell, TN
• Providers in Powell, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.