Active NPI
Esonet Medical Equipment & Medical Supplies, Inc.
- Durable Medical Equipment & Medical Supplies
- Southfield, MI
National Provider Identifier
1184655847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- B
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BCBS: 540F329810 | Other | MI | DURABLE MEDICAL EQUIPMENT |
| 4820060 | Medicaid | MI |
Other names 1
- ESONET MEDICAL EQUIPMENT & SUPPLIES, INC.
National Provider Directory
National Provider DirectoryNPI 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.