Organization Active NPI

Medi-Wise Health Mart Inc

  • Durable Medical Equipment & Medical Supplies
  • Dover, OH
National Provider Identifier
1760497366
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDI-WISE HEALTH MART INC
Practice address
821 Anola Avenue
Suite E
Dover, OH 44622-2075
Phone
(330) 364-2273
Fax
(330) 364-4182
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Mr. Gregory Donaldson
Title
President
Phone
(330) 364-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

821 Anola Avenue
Suite E
Dover, OH 44622-2075

Mailing address

PO Box 1005
New Philadelphia, OH 44663
Phone (330) 364-2273

Other identifiers 2

IdentifierTypeStateIssuer
000000155532OtherOHANTHEM
0496468MedicaidOH

Other names 1

  • Donaldson Medical Former legal business name

National Provider Directory

National Provider Directory

Locations

821 Anola St
Ste E
Dover, OH 44622
Phone (330) 364-2273

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1760497366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "44663",
            "telephone_number": "330-364-2273",
            "fax_number": "330-364-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 ANOLA AVENUE",
            "address_2": "SUITE E",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222075",
            "telephone_number": "330-364-2273",
            "fax_number": "330-364-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-WISE HEALTH MART INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-364-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "ANTHEM",
            "identifier": "000000155532",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496468",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donaldson Medical",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.