Organization Active NPI

Marshall-Kloene Orthopedics, Inc.

  • Customized Equipment (DME)
  • Maumee, OH
National Provider Identifier
1285616714
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
LPO120 Issued in OH
Legal business name
MARSHALL-KLOENE ORTHOPEDICS, INC.
Practice address
419 Tomahawk Dr
Maumee, OH 43537-1633
Phone
(419) 893-0748
Fax
(419) 891-9172
NPI assigned
Nov 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Mr. Michael Joel StevensNPI 1700072014
Title
President
Phone
(419) 893-0748

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X LPO120 OH Primary

Addresses

Primary practice location

419 Tomahawk Dr
Maumee, OH 43537-1633

Mailing address

419 Tomahawk Dr
Maumee, OH 43537-1633
Phone (419) 893-0748

Other practice location 1

6902 US 127
Bryan, OH 43506-8645
Phone (419) 893-0748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930063391 OH DME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Pedorthic Personnel 1557488707 Practice locations: Maumee, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Marshall-Kloene Orthopedic Inc419 Tomahawk Dr, Maumee, OH 43537-1633(419) 893-0748 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1285616714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 TOMAHAWK DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371633",
            "telephone_number": "419-893-0748",
            "fax_number": "419-891-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 TOMAHAWK DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371633",
            "telephone_number": "419-893-0748",
            "fax_number": "419-891-9172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6902 US 127",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "OH",
            "postal_code": "435068645",
            "country_code": "US",
            "telephone_number": "419-893-0748",
            "fax_number": "419-891-9172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARSHALL-KLOENE ORTHOPEDICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-893-0748",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "OH",
            "license": "LPO120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.