Medsource Midwest, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDSOURCE MIDWEST, LLC

Practice address

71 S Almondell Cir
Magnolia, TX 77354-3373

Phone

(832) 334-3773

NPI assigned

Sep 15, 2010

Organization subpart

No

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

Authorized official

Name

Mr. David Wagenseller

Title

Owner

Phone

(832) 334-3773

Specialties & licenses 1

Addresses

Other names 1

• Wagenseller & Company Other name

Tax ID family

Medsource Midwest LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Medsource Midwest L.L.C.

  • Durable Medical Equipment & Medical Supplies
  • Wilmington, OH
  • NPI 1518155738
  NPD tax ID

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1790093466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 FM 1488 RD STE B",
            "address_2": "BOX 244",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773542526",
            "telephone_number": "832-334-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 S ALMONDELL CIR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773543373",
            "telephone_number": "832-334-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOURCE MIDWEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "WAGENSELLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-334-3773",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wagenseller & Company",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Emily McDowell, RBT
• Jerod William McKeehan, FNP-C
• Rebekah Lynn McQueen, MT-BC
• Lindsay Allison McQurter, PA-C
• Daniel Josue Medina, LMT
• Synda V Melton, M.A., CCC-SLP
• Memory Lane Assisted Living, LLC
• Carolyna Mercado, LMHC
• MFM Pharmacy, LLC
• Amanda Lyn Milanak, PT, DPT

• Durable Medical Equipment & Medical Supplies in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2011; 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.