Advanced Medical Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ADVANCED MEDICAL INC

Practice address

128 Goff Mountain Rd
Cross Lanes, WV 25313-1435

Phone

(304) 776-2002

Fax

(304) 776-2004

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David L Roush

Title

President

Phone

(304) 776-4318

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1619164308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7532",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253560532",
            "telephone_number": "304-776-2002",
            "fax_number": "304-776-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 GOFF MOUNTAIN RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131435",
            "telephone_number": "304-776-2002",
            "fax_number": "304-776-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-776-4318",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9226145",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reili Abbott
• Samara Adams
• Tiffany Dawn Adkins-Hopkins, MSW, MBA, LSW
• Madison Adkins
• Ludency Alfred
• All Med LLC
• Emily Allen
• Frank Allen III
• Walter Aman

• Customized Equipment (DME) in Cross Lanes, WV
• Providers in Cross Lanes, WV by specialty
• Customized Equipment (DME) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.