West Side Medical Supply Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

WEST SIDE MEDICAL SUPPLY INC

Practice address

10346 E Stonegate LN Ste 600
Wichita, KS 67206-2055

Phone

(316) 636-7900

Fax

(316) 636-7939

NPI assigned

Nov 9, 2011

Organization subpart

No

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

Authorized official

Name

John Holst

Title

Ceo

Phone

(314) 221-7456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Gooden, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Wichita, KS
  • NPI 1205127982
  NPD

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1043597784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10346 E STONEGATE LN STE 600",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062055",
            "telephone_number": "316-636-7900",
            "fax_number": "316-636-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10346 E STONEGATE LN STE 600",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062055",
            "telephone_number": "316-636-7900",
            "fax_number": "316-636-7939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 N Tyler Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "67212",
            "country_code": "US",
            "telephone_number": "316-636-7900",
            "fax_number": "316-636-7939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 N Webb Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672061803",
            "country_code": "US",
            "telephone_number": "316-636-7900",
            "fax_number": "316-636-7939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST SIDE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "HOLST",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-221-7456"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Urgent Care, LLC
• Kevin J Weslosky, PHARMD, RPH
• Susan Wessel
• Stacy Lynn Wessley, APRN
• John Wessling, D.C.
• West WFD GPS LLC
• West Wichita Assisted Living, LLC
• West Wichita Family Optometrists
• West Wichita Family Pharmacy LLC
• West Wichita Family Physicians, P.a.

• Customized Equipment (DME) in Wichita, KS
• Providers in Wichita, KS by specialty
• Customized Equipment (DME) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.