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AVICENNA MEDICAL SUPPLY
NPI 1275869158
Durable Medical Equipment & Medical Supplies in Wheat Ridge, CO

Active since October 27, 2009
4045 WADSWORTH BLVD, UNIT # 308, WHEAT RIDGE, CO 80033(303) 388-7114 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018 (2 updates tracked since 2018).

About Avicenna Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVICENNA MEDICAL SUPPLY (NPI 1275869158) is a healthcare organization registered as a durable medical equipment & medical supplies in Wheat Ridge, Colorado and active in the NPI registry since October 2009. The organization lists Rostislav Vaisman, President, as its authorized official.

NPPES Registry Identity

NPI1275869158
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameAVICENNA MEDICAL SUPPLY
Location Address4045 WADSWORTH BLVD, UNIT # 308Wheat Ridge, CO 80033-4642
Mailing Address4045 Wadsworth Blvd, Unit # 308Wheat Ridge, CO 80033-4642 · (303) 388-7114
Phone(303) 388-7114
Organization SubpartNo
Authorized OfficialRostislav VaismanPresident · (303) 388-7114
Enumeration DateOctober 27, 2009
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1275869158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
4045 WADSWORTH BLVD, Wheat Ridge, CO 80033
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH P SCHERBER D.D.S.
Dentist (General Practice)
4045 WADSWORTH BLVD, SUITE 103
WHEAT RIDGE, CO 80033
Jefferson County (303) 421-2702
DR. JOHN BUFORD WOODWARD III MD
Psychiatry & Neurology (Neurology)
4045 WADSWORTH BLVD, SUITE 311
WHEAT RIDGE, CO 80033
Jefferson County (303) 425-6856
ADVANCED WOUND CARE PC LLC
Physical Therapist
4045 WADSWORTH BLVD, SUITE 10
WHEAT RIDGE, CO 80033
Jefferson County (303) 940-1611
BASHIRA REED
Day Training/Habilitation Specialist
4045 WADSWORTH BLVD
WHEAT RIDGE, CO 80033
Jefferson County (405) 215-2549
MS. AMBER LYNN CARPENTER P.T.
Specialist
4045 WADSWORTH BLVD, SUITE 10
WHEAT RIDGE, CO 80033
Jefferson County (303) 940-1611
DR. RONALD J MALPIEDE D.C, P.C.
Chiropractor (Orthopedic)
4045 WADSWORTH BLVD, 300
WHEAT RIDGE, CO 80033
Jefferson County (303) 424-9888
SHARA OGIN
Occupational Therapist
4045 WADSWORTH BLVD
WHEAT RIDGE, CO 80033
Jefferson County (415) 999-6401
SHANNON MERRIMAN PT, DPT
Physical Therapist
4045 WADSWORTH BLVD
WHEAT RIDGE, CO 80033
Jefferson County (303) 940-1611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avicenna Medical Supply's NPI number?

The NPI number for Avicenna Medical Supply is 1275869158. It was assigned to this organization in the NPPES registry on October 27, 2009.

Where is Avicenna Medical Supply located?

Avicenna Medical Supply is located at 4045 Wadsworth Blvd Unit # 308, Wheat Ridge, CO 80033. The listed phone number is (303) 388-7114.

What is Avicenna Medical Supply's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Avicenna Medical Supply was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.