Integra Healthcare Equipment of Wisconsin, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

INTEGRA HEALTHCARE EQUIPMENT OF WISCONSIN, LLC

Practice address

2855 S 160TH St
New Berlin, WI 53151-3603

Phone

(888) 828-7729

NPI assigned

Jan 15, 2013

Organization subpart

No

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

Authorized official

Name

Eitan Schechter

Title

President

Phone

(630) 516-8320

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1346587904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 N CHURCH RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 S 160TH ST",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531513603",
            "telephone_number": "888-828-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA HEALTHCARE EQUIPMENT OF WISCONSIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "SCHECHTER",
        "authorized_official_first_name": "EITAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-516-8320"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104033042",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in New Berlin, WI
• Providers in New Berlin, 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 Jan 15, 2013; 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.