Pros-Tech, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

B ME-0133255 Issued in MI

Legal business name

PROS-TECH, INC.

Practice address

1717 Stephenson Hwy
Troy, MI 48083-2149

Phone

(248) 680-2800

Fax

(248) 680-2804

NPI assigned

May 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Keith E Girardot, C.P.

Title

Certified Practioner/Treasuer

Phone

(248) 680-2800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1063467389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 STEPHENSON HWY",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832149",
            "telephone_number": "248-680-2800",
            "fax_number": "248-680-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 STEPHENSON HWY",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832149",
            "telephone_number": "248-680-2800",
            "fax_number": "248-680-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROS-TECH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "GIRARDOT",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CERTIFIED PRACTIONER/TREASUER",
        "authorized_official_telephone_number": "248-680-2800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MI",
            "license": "B ME-0133255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1959066",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Troy, MI
• Providers in Troy, MI by specialty
• Prosthetic/Orthotic Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.