Western Lake Erie Oms, PC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

WESTERN LAKE ERIE OMS, PC

Practice address

876 Stewart Rd
#3
Monroe, MI 48162-5345

Phone

(734) 243-9160

Fax

(734) 243-6393

NPI assigned

Aug 21, 2015

Last updated

Jul 31, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Wendy Vore

Title

Practice Administrator

Phone

(734) 243-9160

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron M Brinster, D.D.S. M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Sylvania, OH
  • NPI 1629393707

  MI

  Medicare reassignment Care Compare group
• David A Shall, D.D.S., MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Sylvania, OH
  • NPI 1194968347

  MI

  Medicare reassignment Care Compare group
• James E Mayer, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Toledo, OH
  • NPI 1891795233

  MI

  Medicare reassignment

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1629445986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 STEWART RD",
            "address_2": "#3",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625345",
            "telephone_number": "734-243-9160",
            "fax_number": "734-243-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 STEWART RD",
            "address_2": "#3",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625345",
            "telephone_number": "734-243-9160",
            "fax_number": "734-243-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN LAKE ERIE OMS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "VORE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "734-243-9160",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Ann Welker, CNM
• Alison Wellington-Quinn, LPN
• Rory Wendt
• Amy Beth Wertenberger, LLPC
• Krystal West, LPN
• Jennifer Lynn Westfal, MS LLP
• Westwood Dental, P.C.
• Kristen Wetzel, MA, LLPC
• Cyndi D Whitcraft, BA
• Paula Lynn Whitman, PSY.D, LLP

• Oral and Maxillofacial Surgery Clinic/Center in Monroe, MI
• Providers in Monroe, MI by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.