Organization Active NPI

Pro2 Indianapolis, LLC

  • Oxygen Equipment & Supplies (DME)
  • Indianapolis, IN
National Provider Identifier
1104851674
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
PRO2 INDIANAPOLIS, LLC
Practice address
7164 Zionsville Rd
Park 100
Indianapolis, IN 46268-2163
Phone
(317) 298-7700
Fax
(317) 299-7707
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mr. Timothy Ford
Title
President
Phone
(513) 469-5771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

7164 Zionsville Rd
Park 100
Indianapolis, IN 46268-2163

Mailing address

7164 Zionsville Rd
Park 100, Building 106
Indianapolis, IN 46268-2163
Phone (317) 298-7700

Other identifiers 1

IdentifierTypeStateIssuer
200800600BMedicaidIN

Other names 1

  • PRO2 Respiratory Services Doing business as

National Provider Directory

National Provider Directory

Locations

7164 Zionsville Rd
Bldg 106
Indianapolis, IN 46268
Phone (317) 298-7700

7164 Zionsville Rd
#100
Indianapolis, IN 46268
Phone (317) 298-7700

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1104851674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7164 ZIONSVILLE RD",
            "address_2": "PARK 100, BUILDING 106",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682163",
            "telephone_number": "317-298-7700",
            "fax_number": "317-299-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7164 ZIONSVILLE RD",
            "address_2": "PARK 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682163",
            "telephone_number": "317-298-7700",
            "fax_number": "317-299-7707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO2 INDIANAPOLIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-469-5771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200800600B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO2 Respiratory Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

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

Verify at the official NPI Registry.