Eastern DME

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EASTERN DME

Practice address

6508 S 27TH St
Suite 9-194
Oak Creek, WI 53154-1093

Phone

(414) 409-7646

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Gustavo Adolfo UrbinaNPI 1497291116

Title

President / Ceo

Phone

(773) 495-3796

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Gustavo Urbina

  • Durable Medical Equipment & Medical Supplies
  • Kenosha, WI
  • NPI 1497291116
  Authorized official Same address or phone

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1245590892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 S 27TH ST",
            "address_2": "SUITE 9-194",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541093",
            "telephone_number": "414-409-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6508 S 27TH ST",
            "address_2": "SUITE 9-194",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541093",
            "telephone_number": "414-409-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "URBINA",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "ADOLFO",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "773-495-3796",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmyn Draper
• Drexel Town Square Surgery Center, LLC (Drexel Town Square Surgery Center)
• Christopher Scott Druml, DC
• Jacqueline Ducksworth
• Brittany Ann Dunnum, OTR/L
• Natalie Marie Eddy, M.A.
• Sabrina Dianne Eder, PT
• Latoya Edwards, APNP
• Omar Eliwa
• Bridget P Elliott, AUD

• Durable Medical Equipment & Medical Supplies in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.