Axiom Medical LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

W14093827 Issued in MD

Legal business name

AXIOM MEDICAL LLC

Practice address

40 S Dundalk Ave Ste 302
Baltimore, MD 21222-4232

Phone

(433) 530-6289

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Randall S Zeh

Title

Presdient

Phone

(410) 340-6164

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1265799647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W LEE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012419",
            "telephone_number": "410-340-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S DUNDALK AVE STE 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224232",
            "telephone_number": "433-530-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOM MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "ZEH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESDIENT",
        "authorized_official_telephone_number": "410-340-6164",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MD",
            "license": "W14093827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tolulope Awosika
• Jake Alexander Awtry, MA
• Stewart Axelbaum, M.D.
• Anna Axentiev, MD
• Jennifer Elizabeth Axilbund, M.S., C.G.C.
• Esra Emine Ay
• Aya Health LLC
• Carolina Beatriz Ayala, CRNP
• Estefany Ayala
• Tomas H. Ayala, MD

• Customized Equipment (DME) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Customized Equipment (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.