Active NPI
Absolute Innovations
- Durable Medical Equipment & Medical Supplies
- Easton, MD
National Provider Identifier
1104072792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- ABSOLUTE INNOVATIONS
- Practice address
- 9010 High Banks Dr
Easton, MD 21601-6832 - Phone
- (410) 822-3106
- NPI assigned
- Aug 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Bryan Trautman
- Title
- Owner
- Phone
- (410) 253-9601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
9010 High Banks Dr
Easton, MD 21601-6832
Mailing address
9010 High Banks Dr
Easton, MD 21601-6832
Phone (410) 822-3106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018675900 | Medicaid | MD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1104072792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9010 HIGH BANKS DR",
"city": "EASTON",
"state": "MD",
"postal_code": "216016832",
"telephone_number": "410-822-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9010 HIGH BANKS DR",
"city": "EASTON",
"state": "MD",
"postal_code": "216016832",
"telephone_number": "410-822-3106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABSOLUTE INNOVATIONS",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-14",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "TRAUTMAN",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "BRYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-253-9601"
},
"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": "018675900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.