Active NPI
Pro2 Indianapolis, LLC
- Oxygen Equipment & Supplies (DME)
- Indianapolis, IN
National Provider Identifier
1104851674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200800600B | Medicaid | IN |
Other names 1
- PRO2 Respiratory Services
National Provider Directory
National Provider DirectoryLocations
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.