Active NPI
Old World DME, Inc.
- Durable Medical Equipment & Medical Supplies
- West Bloomfield, MI
National Provider Identifier
1902033525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- OLD WORLD DME, INC.
- Practice address
- 7475 Sheffield
West Bloomfield, MI 48322-2878 - Phone
- (248) 669-2416
- Fax
- (248) 671-0922
- NPI assigned
- Jun 22, 2009
- 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
- Mr. Billy Lee Cooper, M.B.A.
- Title
- President
- Phone
- (248) 669-2416
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MI | Primary | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | MI | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
7475 Sheffield
West Bloomfield, MI 48322-2878
Mailing address
7475 Sheffield
West Bloomfield, MI 48322-2878
Phone (248) 669-2416
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0F38288 | Other | BCBS | |
| 0F38288 | Other | MI | BCBSM |
| 0F38288 | Other | MI | BCBSM MEDICARE ADVANTAGE BLUE PPO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551398400000",
"number": "1902033525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7475 SHEFFIELD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222878",
"telephone_number": "248-669-2416",
"fax_number": "248-671-0922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7475 SHEFFIELD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222878",
"telephone_number": "248-669-2416",
"fax_number": "248-671-0922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLD WORLD DME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-22",
"last_updated": "2019-03-01",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "BILLY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-669-2416",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.B.A."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0F38288",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "0F38288",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM MEDICARE ADVANTAGE BLUE PPO",
"identifier": "0F38288",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
- Oladapo Ogundeji
- Kristen Ruth Ohlrich I, MA, CCC-SLP
- Chizitere Okafor
- Collin James Okeefe, D.O.
- Fidel Chidi Okoye, RESPIRATORYTHERAPIST
- Gregory M Oldford, MD
- Kristin M. Oleszkowicz, PA-C
- Sandra Oliver-McNeil, NURSE PRACTITIONER
- Rochelle Colleen Olmsted, BEHAVIOR TECHNICIAN
- Kathleen West Olsen, RN, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.