JW Medical, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

JW MEDICAL, INC.

Practice address

501 E Grant St
Suite #4
Macomb, IL 61455-3374

Phone

(309) 837-6673

Fax

(877) 275-1829

NPI assigned

Apr 14, 2010

Organization subpart

Yes

Parent organization

JW MEDICAL, INC.As reported in NPPES

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

Authorized official

Name

Mr. Ryan Edward Jacquot

Title

President

Phone

(217) 357-6673

Specialties & licenses 1

Addresses

Other names 1

• MORE Medical Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• JW Medical, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Carthage, IL
  • NPI 1982854584

  2668670415

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

JW Medical Inc2 organizations share this tax ID, including this one

Part of

JW Medical Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JW Medical, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Carthage, IL
  • NPI 1982854584
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• JW Medical, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Carthage, IL
  • NPI 1982854584
  NPPES parent name

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1386960417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 E US HIGHWAY 136",
            "city": "CARTHAGE",
            "state": "IL",
            "postal_code": "623213418",
            "telephone_number": "217-357-6673",
            "fax_number": "217-357-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E GRANT ST",
            "address_2": "SUITE #4",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553374",
            "telephone_number": "309-837-6673",
            "fax_number": "877-275-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW MEDICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JW MEDICAL, INC.",
        "enumeration_date": "2010-04-14",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "JACQUOT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-357-6673",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MORE Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Bruce Iverson, MD
• Vicki Ann Jobe-Crosby, LCPC
• Rosemary Irene John, CRSS, CADC
• Mona S Johnston, PHD
• Stephany Wilson Joy-Newman, ED.D., LCPC
• Rosalyn Borden Kalantari, APN
• Roberta Keck, MS,SSP
• Kathleen Kenney, LCSW, CADC
• Marc Kessler, ATC
• Aman Khurana, MD

• All providers in Macomb, IL
• Oxygen Equipment & Supplies (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.