LAKESIDE DURABLE MEDICAL EQUIPMENT
NPI 1760617211
Durable Medical Equipment & Medical Supplies in Montgomery, TX

NPI Status: Active since May 27, 2009

Contact Information

123 BLUE HERON DR
STE 102
MONTGOMERY, TX
ZIP 77316
Phone: (936) 582-1112
Fax: (936) 582-1151

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About LAKESIDE DURABLE MEDICAL EQUIPMENT

This page provides the complete NPI Profile along with additional information for Lakeside Durable Medical Equipment, a provider established in Montgomery, Texas operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1760617211 assigned on May 2009. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Lakeside Durable Medical Equipment. The authorized official of this NPI record is Mrs. Cortnie Renee Wellman Bs, Rpsgt (Owner)

NPI
1760617211
Provider Legal Name
WELLMAN SLEEP SYSTEMS, LLC
Other Organization Name
LAKESIDE DURABLE MEDICAL EQUIPMENT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
123 BLUE HERON DR STE 102 MONTGOMERY, TX 77316
Location Phone
(936) 582-1112
Location Fax
(936) 582-1151
Mailing Address
123 BLUE HERON DR STE 102 MONTGOMERY, TX 77316
Mailing Phone
(936) 582-1112
Mailing Fax
(936) 582-1151
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2009
Last Update Date
10-14-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332BX2000XSuppliers

Durable Medical Equipment & Medical Supplies
Oxygen Equipment & Supplies

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CORTNIE RENEE WELLMAN BS, RPSGT

Authorized Official Title
OWNER
Authorized Official Phone
(936) 828-1919

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760617211
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201211422
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 2 + 1 + 1 + 4 + 2 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1760617211 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

DR. MATTHEW C SNYDER OD

Optometrist

123 BLUE HERON DR
STE 103
MONTGOMERY, TX
ZIP 77316

(936) 582-4200

DR. TONY WESLEY DERAMUS DC

Chiropractor

(Sports Physician)

123 BLUE HERON DR
STE 104
MONTGOMERY, TX
ZIP 77316

(936) 582-0404

TMC CLINIC

Internal Medicine

(Sleep Medicine)

123 BLUE HERON DR
SUITE 102
MONTGOMERY, TX
ZIP 77316

(936) 582-1112

CELESTIA, LLC

Durable Medical Equipment & Medical Supplies

123 BLUE HERON DR
STE 201
MONTGOMERY, TX
ZIP 77316

(936) 582-1112

LAKESIDE SLEEP CENTER LLC

Clinic/Center

(Sleep Disorder Diagnostic)

123 BLUE HERON DR
STE 102
MONTGOMERY, TX
ZIP 77316

(936) 582-1112

MONTGOMERY EYE ASSOCIATES PC

Optometrist

123 BLUE HERON DR
SUITE 103
MONTGOMERY, TX
ZIP 77316

(936) 582-2323

SHELBY FRAZIER MA, LPC, LMFT-A

Counselor

(Mental Health)

123 BLUE HERON DR
MONTGOMERY, TX
ZIP 77316

(936) 449-8053

MIKA M'LAINE MOORE APRN

Nurse Practitioner

(Family)

123 BLUE HERON DR
MONTGOMERY, TX
ZIP 77316

(936) 290-0761

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760617211, enumerated as an "organization" on May 27, 2009.

The provider is located at 123 BLUE HERON DR STE 102 MONTGOMERY, TX 77316 and the phone number is (936) 582-1112.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.