Active NPI
Patriot LLC
- Durable Medical Equipment & Medical Supplies
- Oakwood Village, OH
National Provider Identifier
1164601464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 021770700
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2811050 | Medicaid | OH |
Other names 1
- Patriot Medical
National Provider Directory
National Provider DirectoryLocations
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.