Active NPI
Midwest Medical, Inc.
Doing business as Midwest Medical Services, Inc
- Durable Medical Equipment & Medical Supplies
- Watertown, SD
National Provider Identifier
1891769147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MIDWEST MEDICAL, INC.
- Doing business as
- Midwest Medical Services, Inc
- Practice address
- 615 6TH St SE
Watertown, SD 57201-4926 - Phone
- (605) 882-4210
- Fax
- (605) 882-4211
- NPI assigned
- Feb 14, 2006
- Last updated
- Sep 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kay Johnson
- Title
- Board Member
- Phone
- (605) 882-4210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
615 6TH St SE
Watertown, SD 57201-4926
Mailing address
615 6TH St SE
Watertown, SD 57201-4926
Phone (605) 882-4210
Other names 1
- Midwest Medical Services, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930000553 | SD | DME Supplier - Medical Supply Company | 6406973817 | Practice locations: Watertown, SD |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Midwest Medical Service, Inc. | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Ultraviolet Light Devi… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
615 6th St SE
Watertown, SD 57201
Phone (605) 882-4210
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Watertown, SD
- NPI 1316727811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599609600000",
"number": "1891769147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 6TH ST SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572014926",
"telephone_number": "605-882-4210",
"fax_number": "605-882-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 6TH ST SE",
"city": "WATERTOWN",
"state": "SD",
"postal_code": "572014926",
"telephone_number": "605-882-4210",
"fax_number": "605-882-4211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-14",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "KAY",
"authorized_official_title_or_position": "BOARD MEMBER",
"authorized_official_telephone_number": "605-882-4210"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Midwest Medical Services, Inc",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Midwest Medical Services, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Watertown, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.