Active NPI
Washtenaw Medical Supplies
- Prosthetic/Orthotic Supplier
- Ann Arbor, MI
National Provider Identifier
1295780856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- WASHTENAW MEDICAL SUPPLIES
- Practice address
- 2835 Carpenter Rd
Suite #1
Ann Arbor, MI 48108-1172 - Phone
- (734) 971-1862
- Fax
- (734) 971-1553
- NPI assigned
- May 23, 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
- Ms. Laurie Kay Bubenhofer, LPN, CFOM
- Title
- Owner
- Phone
- (734) 971-1862
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
2835 Carpenter Rd
Suite #1
Ann Arbor, MI 48108-1172
Mailing address
2835 Carpenter Rd
Suite #1
Ann Arbor, MI 48108-1172
Phone (734) 971-1862
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100137 | Other | MI | CARE CHOICES HMO ID # |
| 4259366 | Medicaid | MI | |
| 0H10409 | Other | MI | BLUE CROSS OF MICHIGAN ID |
National Provider Directory
National Provider DirectoryLocations
2835 Carpenter Rd
Ste 1
Ann Arbor, MI 48108
Phone (734) 971-1862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188432000000",
"number": "1295780856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 CARPENTER RD",
"address_2": "SUITE #1",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081172",
"telephone_number": "734-971-1862",
"fax_number": "734-971-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 CARPENTER RD",
"address_2": "SUITE #1",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081172",
"telephone_number": "734-971-1862",
"fax_number": "734-971-1553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHTENAW MEDICAL SUPPLIES",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2007-08-30",
"status": "A",
"authorized_official_last_name": "BUBENHOFER",
"authorized_official_first_name": "LAURIE",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-971-1862",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPN, CFOM"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICES HMO ID #",
"identifier": "100137",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4259366",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MICHIGAN ID",
"identifier": "0H10409",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.