Organization Active NPI

Target Microsystems, Inc.

  • Customized Equipment (DME)
  • Hebron, OH
National Provider Identifier
1346453453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
TARGET MICROSYSTEMS, INC.
Practice address
115 Auld Ridge Way
Hebron, OH 43025-9594
Phone
(740) 928-2276
Fax
(740) 928-2883
NPI assigned
May 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Donald Gene Ridgeway
Title
Ceo & President
Phone
(740) 928-2276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

115 Auld Ridge Way
Hebron, OH 43025-9594

Mailing address

115 Auld Ridge Way
Hebron, OH 43025-9594
Phone (740) 928-2276

Other identifiers 1

IdentifierTypeStateIssuer
2161940MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346453453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 AULD RIDGE WAY",
            "city": "HEBRON",
            "state": "OH",
            "postal_code": "430259594",
            "telephone_number": "740-928-2276",
            "fax_number": "740-928-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 AULD RIDGE WAY",
            "city": "HEBRON",
            "state": "OH",
            "postal_code": "430259594",
            "telephone_number": "740-928-2276",
            "fax_number": "740-928-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET MICROSYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIDGEWAY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "740-928-2276",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2161940",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.