Westlake Medical Equipment, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0206009233 Issued in VA

Legal business name

WESTLAKE MEDICAL EQUIPMENT, LLC

Practice address

13455 Booker T Washington Hwy
Suite 101
Moneta, VA 24121-6150

Phone

(540) 721-9013

Fax

(540) 721-9083

NPI assigned

Oct 16, 2006

Last updated

Aug 22, 2020By 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. Adam Owen

Title

Owner

Phone

(540) 721-9013

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942380068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13455 BOOKER T WASHINGTON HWY",
            "address_2": "SUITE 101",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241216150",
            "telephone_number": "540-721-9013",
            "fax_number": "540-721-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13455 BOOKER T WASHINGTON HWY",
            "address_2": "SUITE 101",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241216150",
            "telephone_number": "540-721-9013",
            "fax_number": "540-721-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-721-9013",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "VA",
            "license": "0206009233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS NON-PAR",
            "identifier": "138589",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mike Walker
• Westlake Counseling Services, LLC
• Carter Wesley Wright, DDS
• Joseph Wriston, LPC, LSATP, NCC
• Lori Yeaman, PT

• Oxygen Equipment & Supplies (DME) in Moneta, VA
• Providers in Moneta, 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 Aug 22, 2020; 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.