Organization Active NPI

Patriot LLC

  • Durable Medical Equipment & Medical Supplies
  • Oakwood Village, OH
National Provider Identifier
1164601464
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
021770700 Issued in OH
Legal business name
PATRIOT LLC
Practice address
585 Golden Oak Pkwy
Oakwood Village, OH 44146-6501
Phone
(216) 221-8896
Fax
(216) 221-8897
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Mr. Gregory Michael Kuszmaul
Title
Co-Owner
Phone
(216) 221-8896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 021770700 OH Primary

Addresses

Primary practice location

585 Golden Oak Pkwy
Oakwood Village, OH 44146-6501

Mailing address

585 Golden Oak Pkwy
Oakwood Village, OH 44146-6501
Phone (216) 221-8896

Other identifiers 1

IdentifierTypeStateIssuer
2811050MedicaidOH

Other names 1

  • Patriot Medical Doing business as

National Provider Directory

National Provider Directory

Locations

585 Golden Oak Pkwy
Oakwood Village, OH 44146
Phone (216) 221-8896

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1164601464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 GOLDEN OAK PKWY",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "441466501",
            "telephone_number": "216-221-8896",
            "fax_number": "216-221-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 GOLDEN OAK PKWY",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "441466501",
            "telephone_number": "216-221-8896",
            "fax_number": "216-221-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "KUSZMAUL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "216-221-8896",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "021770700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2811050",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patriot Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakwood Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.