NPIMap

Organization Active NPI

Cadwell Therapeutics, Inc.

  • Customized Equipment (DME)
  • Sterling Heights, MI
National Provider Identifier
1659632370
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
CADWELL THERAPEUTICS, INC.
Practice address
43200 Dequindre Rd
Suite 104
Sterling Heights, MI 48314-1707
Phone
(586) 991-5964
Fax
(586) 991-5965
NPI assigned
May 30, 2012
Organization subpart
Yes
Parent organization
CADWELL THERAPEUTICS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Phill Fossum
Title
Regional Manager
Phone
(586) 991-5964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

43200 Dequindre Rd
Suite 104
Sterling Heights, MI 48314-1707

Mailing address

909 N Kellogg St
Kennewick, WA 99336-7669
Phone (855) 843-5411

National Provider Directory

National Provider Directory
Tax ID family
Cadwell Therapuetics Inc9 organizations share this tax ID, including this one
Part of
Cadwell Therapuetics Inc

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1659632370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 N KELLOGG ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367669",
            "telephone_number": "855-843-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43200 DEQUINDRE RD",
            "address_2": "SUITE 104",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483141707",
            "telephone_number": "586-991-5964",
            "fax_number": "586-991-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADWELL THERAPEUTICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CADWELL THERAPEUTICS, INC.",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "FOSSUM",
        "authorized_official_first_name": "PHILL",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "586-991-5964"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.