Western Maryland Medical Supply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

R1119 Issued in MD

Legal business name

WESTERN MARYLAND MEDICAL SUPPLY

Practice address

12101 Winchester Rd
Suite 1a
Lavale, MD 21502-7688

Phone

(301) 729-4280

Fax

(301) 729-2944

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas T Chan

Title

Cfo

Phone

(301) 790-8102

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Meritus Enterprises,Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hagerstown, MD
  • NPI 1861270209

  Member Of

  NPD member

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1306863360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 WINCHESTER RD",
            "address_2": "SUITE 1A",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027688",
            "telephone_number": "301-729-4280",
            "fax_number": "301-729-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 WINCHESTER RD",
            "address_2": "SUITE 1A",
            "city": "LAVALE",
            "state": "MD",
            "postal_code": "215027688",
            "telephone_number": "301-729-4280",
            "fax_number": "301-729-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MARYLAND MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "301-790-8102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MD",
            "license": "R1119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411305500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• W Charles McLuckie DDS Ms PC
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Samantha Wampler, CRNP
• Wellcare Inc
• Western Maryland Pediatrics
• Western Maryland Vision Associates
• Austin Kenneth White, CCC-SLP
• Arthur W. Willison, MA, LCPC
• Denise V Wilson, CRNP

• Oxygen Equipment & Supplies (DME) in Lavale, MD
• Providers in Lavale, MD by specialty
• Oxygen Equipment & Supplies (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.