Patrick R McCreary Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PATRICK R MCCREARY INC.

Practice address

1204 Hollowbrook Dr
Dayton, OH 45458-1828

Phone

(937) 674-1020

NPI assigned

Apr 14, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Patrick R McCreary I, GRADUATE SWM COLLEGE

Title

Ceo

Phone

(937) 674-1020

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1346983764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 HOLLOWBROOK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581828",
            "telephone_number": "937-674-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 HOLLOWBROOK DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454581828",
            "telephone_number": "937-674-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK R MCCREARY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "MCCREARY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-674-1020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "GRADUATE SWM COLLEGE"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "RN220411",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Dayton, OH
• Providers in Dayton, OH by specialty
• Customized Equipment (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.