Organization Active NPI

Medical Products Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Dixon, IL
National Provider Identifier
1598864555
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203000437 Issued in IL
Legal business name
MEDICAL PRODUCTS GROUP INC
Practice address
641 Palmyra Rd
Dixon, IL 61021-9139
Phone
(815) 284-9771
Fax
(815) 284-9725
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mr. Gerald Van Buren
Title
President
Phone
(815) 284-9771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203000437 IL Primary

Addresses

Primary practice location

641 Palmyra Rd
Dixon, IL 61021-9139

Mailing address

PO Box 764
Dixon, IL 61021-0764
Phone (815) 284-9771

Other practice location 1

2645 Highway Ave Ste B
Highland, IN 46322-1614
Phone (815) 284-9771

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

2645 Highway Ave
#B
Highland, IN 46322
Phone (815) 284-9771

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1598864555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610210764",
            "telephone_number": "815-284-9771",
            "fax_number": "815-284-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 PALMYRA RD",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610219139",
            "telephone_number": "815-284-9771",
            "fax_number": "815-284-9725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2645 Highway Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463221614",
            "country_code": "US",
            "telephone_number": "815-284-9771",
            "fax_number": "815-284-9725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL PRODUCTS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "VAN BUREN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-284-9771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dixon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.