Mike's Home Medical

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0206009425 Issued in VA

Legal business name

MIKE'S HOME MEDICAL

Practice address

5504 Staples Mill PLZ
Woodbridge, VA 22193-3247

Phone

(703) 680-2225

Fax

(703) 680-2011

NPI assigned

Mar 3, 2008

Last updated

Mar 3, 2008By 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

Mr. Dalwuan R. Williams

Title

President

Phone

(703) 680-2225

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1790955029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 STAPLES MILL PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933247",
            "telephone_number": "703-680-2225",
            "fax_number": "703-680-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5504 STAPLES MILL PLZ",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221933247",
            "telephone_number": "703-680-2225",
            "fax_number": "703-680-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE'S HOME MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DALWUAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-680-2225",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "VA",
            "license": "0206009425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kimberly Ann Milam, LPC, NCC
• Steven Phillip Milgrim, L.P.C., L.S.A.T.P.
• Milgrim&Associates
• Millenium Medical Corp (CareMed Family Practice)
• Millennium Chiropractic PC

• Oxygen Equipment & Supplies (DME) in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Oxygen Equipment & Supplies (DME) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.