Westside Medical Devices LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WESTSIDE MEDICAL DEVICES LLC

Practice address

25500 Meadowbrook Rd Ste 275C
Novi, MI 48375-1878

Phone

(734) 812-1164

NPI assigned

Jan 30, 2023

Organization subpart

No

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

Authorized official

Name

Jeffrey Dimaya

Title

Owner

Phone

(734) 812-1164

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1700592136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 275C",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751878",
            "telephone_number": "734-812-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 275C",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751878",
            "telephone_number": "734-812-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE MEDICAL DEVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-29",
        "status": "A",
        "authorized_official_last_name": "DIMAYA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-812-1164"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOM",
            "identifier": "802975418",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sucora West
• Tonya Westbrooks
• Jennifer Westburg
• Westco Haggerty Medical Partners PA
• Norene Latrice Weston
• Lastasia Whaley
• Marlin Whaley
• Tracey Whaley
• Candice Whatcott
• Adrienne Wheeler

• Durable Medical Equipment & Medical Supplies in Novi, MI
• Providers in Novi, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.