Patriot Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PATRIOT MEDICAL LLC

Practice address

21891 Forbes Rd Ste 104
Oakwood Village, OH 44146-5401

Phone

(440) 547-3151

Fax

(440) 729-3633

NPI assigned

Jul 21, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Degennaro

Title

Owner

Phone

(440) 547-3151

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1659501997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21891 FORBES RD",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "441465401",
            "telephone_number": "440-547-3151",
            "fax_number": "440-729-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21891 FORBES RD STE 104",
            "city": "OAKWOOD VILLAGE",
            "state": "OH",
            "postal_code": "441465401",
            "telephone_number": "440-547-3151",
            "fax_number": "440-729-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "DEGENNARO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-547-3151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oakwood Health Care Services Inc.
• Oakwood Health Care Services, Inc
• Oakwood Healthcare Services, Inc.
• Occupational Health Centers of Ohio, P.a., Co.
• Patriot LLC
• Robert E. Petras, MD
• Lois Powell
• Taff G Price
• Tara Denise Price, LPN
• Marlon Reed

• Durable Medical Equipment & Medical Supplies in Oakwood Village, OH
• Providers in Oakwood Village, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.