Keith Robert Demetro

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

5354 New Castle Rd
Lowellville, OH 44436

Phone

(330) 755-7090

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• R.K. Wood Products

  • Durable Medical Equipment & Medical Supplies
  • Struthers, OH
  • NPI 1568534543
  NPD (past) Authorized official
• RK Wood Products LLC

  • Durable Medical Equipment & Medical Supplies
  • Struthers, OH
  • NPI 1912282120
  NPD (past) Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1508885757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 NEW CASTLE RD",
            "city": "LOWELLVILLE",
            "state": "OH",
            "postal_code": "444369532",
            "telephone_number": "330-755-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 NEW CASTLE RD",
            "city": "LOWELLVILLE",
            "state": "OH",
            "postal_code": "44436",
            "telephone_number": "330-755-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETRO",
        "first_name": "KEITH",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0842888",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059721",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Bondi
• Raven Brady
• Canterbury Management Group, LLC
• Canterbury Management Group, LLC
• Coitsville Township
• Bree Filip, ATC, LAT
• Kelly D Floyd
• Tyler Ray Hanes
• Thomas Joseph Javorsky, D.P.M.
• Lowellville Local School District

• Home Modifications Contractor in Lowellville, OH
• Providers in Lowellville, OH by specialty
• Home Modifications Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.