West Michigan Pedorthics Medical Supply LLC

Primary specialty

OrthotistTaxonomy code 222Z00000X

Legal business name

WEST MICHIGAN PEDORTHICS MEDICAL SUPPLY LLC

Practice address

3324 Glade St
Muskegon, MI 49444-2708

Phone

(231) 739-4414

Fax

(231) 739-1094

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Robert Yarranton, PEDORTHIST ORTHOTIST

Title

Ceo

Phone

(231) 739-4414

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trent Joseph Vanderstelt, CPED

  • Pedorthist
  • Muskegon, MI
  • NPI 1255222659
  NPD

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340755200000",
    "number": "1689713844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 GLADE ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494442708",
            "telephone_number": "231-739-4414",
            "fax_number": "231-739-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 GLADE ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494442708",
            "telephone_number": "231-739-4414",
            "fax_number": "231-739-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN PEDORTHICS MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2012-06-27",
        "status": "A",
        "authorized_official_last_name": "YARRANTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-739-4414",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PEDORTHIST ORTHOTIST"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Michigan Internal Medicine PLC
• West Michigan MNT,LLC
• West Michigan Nephrology PLLC
• West Michigan Neurological Associates PLC
• West Michigan Ophthalmology, PC
• West Michigan Substance Abuse
• West Michigan Therapy Inc
• West Michigan Therapy Inc
• West Michigan Transportation LLC
• West Shore Cardiology, PLC

• Orthotist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Orthotist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.