Patriot Products, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

HMEL 11039 Issued in OH

Legal business name

PATRIOT PRODUCTS, INC.

Practice address

4064 Technology Drive
Suite C
Maumee, OH 43537

Phone

(419) 865-9713

Fax

(419) 865-9721

NPI assigned

Feb 23, 2006

Last updated

Aug 19, 2014By 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. Steven D. Grudzien

Title

Ceo

Phone

(419) 704-3474

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Patriot Products 1, Inc. Other name

Locations

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1043286768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4064 TECHNOLOGY DRIVE",
            "address_2": "SUITE C",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-865-9713",
            "fax_number": "419-865-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 TECHNOLOGY DRIVE",
            "address_2": "SUITE C",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-865-9713",
            "fax_number": "419-865-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT PRODUCTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "GRUDZIEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-704-3474",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMEL 11039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4645193",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2129995",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patriot Products 1, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Maumee, OH
• Providers in Maumee, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.