Organization Active NPI

Esonet Medical Equipment & Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Southfield, MI
National Provider Identifier
1184655847
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
B Issued in MI
Legal business name
ESONET MEDICAL EQUIPMENT & MEDICAL SUPPLIES, INC.
Doing business as
ESONET MEDICAL EQUIPMENT & SUPPLIES, INC.
Practice address
19111 W 10 Mile Rd Ste 232
Southfield, MI 48075-2472
Phone
(248) 423-1243
Fax
(248) 423-1244
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Simeon Okpako Eghwofobe Sr., DMEPOS PROVIDER
Title
President
Phone
(248) 423-1243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X B MI Primary

Addresses

Primary practice location

19111 W 10 Mile Rd Ste 232
Southfield, MI 48075-2472

Mailing address

19111 W 10 Mile Rd Ste 232
Southfield, MI 48075-2472
Phone (248) 423-1243

Other identifiers 2

IdentifierTypeStateIssuer
BCBS: 540F329810OtherMIDURABLE MEDICAL EQUIPMENT
4820060MedicaidMI

Other names 1

  • ESONET MEDICAL EQUIPMENT & SUPPLIES, INC. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184655847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 W 10 MILE RD STE 232",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752472",
            "telephone_number": "248-423-1243",
            "fax_number": "248-423-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19111 W 10 MILE RD STE 232",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752472",
            "telephone_number": "248-423-1243",
            "fax_number": "248-423-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESONET MEDICAL EQUIPMENT & MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EGHWOFOBE",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_middle_name": "OKPAKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-423-1243",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DMEPOS PROVIDER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL EQUIPMENT",
            "identifier": "BCBS: 540F329810",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4820060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESONET MEDICAL EQUIPMENT & SUPPLIES, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.