Wisconsin Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WISCONSIN MEDICAL SUPPLIES INC

Practice address

5200 Washington Ave
Ste 105
Racine, WI 53406-4238

Phone

(262) 631-0100

Fax

(262) 631-0200

NPI assigned

Jul 16, 2006

Last updated

Mar 27, 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

Yaser J Mohammed

Title

President

Phone

(262) 631-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1982621827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 WASHINGTON AVE",
            "address_2": "STE 105",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064238",
            "telephone_number": "262-631-0100",
            "fax_number": "262-631-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 WASHINGTON AVE",
            "address_2": "STE 105",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534064238",
            "telephone_number": "262-631-0100",
            "fax_number": "262-631-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISCONSIN MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "YASER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-631-0100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41756900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gerald Wisniewski, MD

• Durable Medical Equipment & Medical Supplies in Racine, WI
• Providers in Racine, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.