Organization Active NPI

Evergreen Medical Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Troy, MI
National Provider Identifier
1518093764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EVERGREEN MEDICAL EQUIPMENT, INC.
Practice address
1787 W Big Beaver Rd
Troy, MI 48084-3510
Phone
(248) 637-3188
NPI assigned
Feb 24, 2007
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
Usman Shaukat Butt
Title
President
Phone
(248) 637-3188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1787 W Big Beaver Rd
Troy, MI 48084-3510

Mailing address

1787 W Big Beaver Rd
Troy, MI 48084-3510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518093764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 W BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843510",
            "telephone_number": "248-637-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTT",
        "authorized_official_first_name": "USMAN",
        "authorized_official_middle_name": "SHAUKAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-637-3188"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

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.