WMK, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

MP00287 Issued in NV

Legal business name

WMK, LLC

Practice address

2100 S Decatur Blvd
Las Vegas, NV 89102-8505

Phone

(702) 876-9606

Fax

(702) 876-4366

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Koeblitz

Title

President

Phone

(234) 678-4001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MobilityWorks Doing business as

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1275616286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028505",
            "telephone_number": "702-876-9606",
            "fax_number": "702-876-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028505",
            "telephone_number": "702-876-9606",
            "fax_number": "702-876-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WMK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "KOEBLITZ",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "234-678-4001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NV",
            "license": "MP00287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500312",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MobilityWorks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Witty Jr., D.M.D
• Tyler Witzel, DO
• Kintana Torres Wixom, APRN
• Robert Mark Wlodek, O.D.
• Roshae R Wlson
• WMT Enterprises LLC
• Stephanie Wofford
• Tanisha Wofford
• Wogalter Vision LLC
• Kevin Jay Wogalter, O.D.

• Customized Equipment (DME) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Customized Equipment (DME) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.