Organization Active NPI

MDW Innovations LLC

  • Customized Equipment (DME)
  • Yuma, AZ
National Provider Identifier
1386981165
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MDW INNOVATIONS LLC
Practice address
1960 S Arizona Ave
Apt B
Yuma, AZ 85364-5784
Phone
(928) 613-2240
NPI assigned
Jan 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Mr. Micah Dean Whitlow
Title
Ceo/Founder
Phone
(928) 613-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1960 S Arizona Ave
Apt B
Yuma, AZ 85364-5784

Mailing address

PO Box 1775
Yuma, AZ 85366-2381
Phone (928) 613-2240

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1386981165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1775",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662381",
            "telephone_number": "928-613-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 S ARIZONA AVE",
            "address_2": "APT B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853645784",
            "telephone_number": "928-613-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDW INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "WHITLOW",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "928-613-2240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.