Destination Medical Equipment LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DESTINATION MEDICAL EQUIPMENT LLC

Practice address

5314 Dixie Hwy
Waterford, MI 48329-1611

Phone

(248) 623-0497

Fax

(248) 623-0546

NPI assigned

Oct 28, 2010

Last updated

May 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edward Gregory Gilbert

Title

President

Phone

(586) 242-6744

Specialties & licenses 1

Addresses

Other names 1

• None Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roman A Kinal, PT

  • Physical Therapist
  • Waterford, MI
  • NPI 1851306781
  NPD (past)
• Peter Ray Kovacek, PT

  • Physical Therapist
  • Harper Woods, MI
  • NPI 1700850252
  NPD (past)

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1063712792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291611",
            "telephone_number": "586-242-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291611",
            "telephone_number": "248-623-0497",
            "fax_number": "248-623-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINATION MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-242-6744",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "None",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deluxe Dental Associates 10- Waterford PLLC (Deluxe Dental Associates)
• Marguerite E. Demaria, OTR/L
• David Denova
• Avinash M Desai, MD
• Hemangini A Desai, MD
• Devyani Khambete, M.D.,P.C.
• James Dewey, LBA
• Rachel Elizabeth Dexter, FNP-BC
• Sumi Dey, MD
• Anthony Peter Di Ponio, DO

• Durable Medical Equipment & Medical Supplies in Waterford, MI
• Providers in Waterford, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.