Silas Kfusalu Waindim Sr., MR

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

USDOT2493341 Issued in MN

Practice address

8923 Greystone Ave S
Cottage Grove, MN 55016-2761

Phone

(651) 304-0541

NPI assigned

Jul 22, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bright Vision Healthcare LLC

  • Home Health Agency
  • Woodbury, MN
  • NPI 1144911934
  NPD Authorized official
• Maximal Care Mobilty LLC

  • Non-emergency Medical Transport (VAN)
  • Cottage Grove, MN
  • NPI 1164830972
  NPD (past) Authorized official

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1093123044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8923 GREYSTONE AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162761",
            "telephone_number": "651-304-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8923 GREYSTONE AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550162761",
            "telephone_number": "651-304-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINDIM",
        "first_name": "SILAS",
        "middle_name": "KFUSALU",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "USDOT2493341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia May Vanlandschoot, OTR/L
• Danielle Jenifer Vetter Larson, LICSW
• Carrie Elisabeth Victor
• Azmina Vining, CCC-SLP
• Julie K. Vogel, MD
• Fayine H Wako
• Wal-Mart Stores, Inc. (Wal-Mart Vision Center 30-2448)
• Jennie Walby
• Thomas W Waldron, D.D.S.
• Walgreen Co (Walgreens #06057)

• Non-emergency Medical Transport (VAN) in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.