Wymed Supply, LLC.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WYMED SUPPLY, LLC.

Practice address

1347 S Wisconsin Ave
Casper, WY 82609-2936

Phone

(307) 234-3047

Fax

(307) 234-3897

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

William B. BlairNPI 1114187572

Title

Owner

Phone

(307) 234-3047

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• William Brent Blair

  • Durable Medical Equipment & Medical Supplies
  • Casper, WY
  • NPI 1114187572
  NPD (past) Authorized official

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1164556833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 S WISCONSIN AVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092936",
            "telephone_number": "307-234-3047",
            "fax_number": "307-234-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 S WISCONSIN AVE",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826092936",
            "telephone_number": "307-234-3047",
            "fax_number": "307-234-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYMED SUPPLY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-234-3047"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119089001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan L Wriedt-Byrne, MS,LPC,NNC
• Michael Wright
• Stephanie Rose Wright, MOTR
• Susan Marie Wright, R.N.
• Jessica M Wylie, COTA/L/CASE MANAGER
• Emily Louise Wynn, MSW, LCSW
• Wyo Ortho, LLC
• Wyo Sports Therapy, LLC
• Wyocity Medical Group LLC
• Wyodentalimplants.Com LLC

• All providers in Casper, WY
• Durable Medical Equipment & Medical Supplies in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.