Wisdom Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

7247331 Issued in CO

Legal business name

WISDOM MEDICAL INC

Practice address

2620 S Parker Rd
Suite #160
Aurora, CO 80014-1608

Phone

(720) 748-1014

Fax

(720) 748-1014

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence O Onwa

Title

Ceo

Phone

(720) 748-1014

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1043390370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202913",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802208913",
            "telephone_number": "720-748-1014",
            "fax_number": "720-748-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 S PARKER RD",
            "address_2": "SUITE #160",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141608",
            "telephone_number": "720-748-1014",
            "fax_number": "720-748-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISDOM MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "ONWA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-748-1014",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CO",
            "license": "7247331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66622247",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mona Schack Winthrop
• Shelby Winzent-Oonk, PA-C
• Rachel Gayle Wirtanen, MSW
• Paul Wischmeyer, MD
• Wisdom Home Health Agency
• Wisdom Medical Transportation
• Joshua Wise
• Katherine V. Wise, NP
• Ashley Wiseley, PHARMD
• Joshua Wisell, MD

• Durable Medical Equipment & Medical Supplies in Aurora, CO
• Providers in Aurora, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.