Provider Pathfinder, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROVIDER PATHFINDER, LLC

Practice address

2784 E Asplin Dr
Rocky River, OH 44116-3004

Phone

(440) 331-2963

Fax

(440) 333-5013

NPI assigned

Dec 16, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Byron Thomas Spooner

Title

Member

Phone

(440) 331-2963

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1275931735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2784 E ASPLIN DR",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163004",
            "telephone_number": "440-331-2963",
            "fax_number": "440-333-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2784 E ASPLIN DR",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163004",
            "telephone_number": "440-331-2963",
            "fax_number": "440-333-5013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER PATHFINDER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "440-331-2963",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Rocky River, OH
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• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.