NPIMap

Organization Active NPI

Robert G Patrus

  • Durable Medical Equipment & Medical Supplies
  • Eastpointe, MI
National Provider Identifier
1679755730
Registry record updated May 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5032850001 Issued in MI
Legal business name
ROBERT G PATRUS
Practice address
22480 Kelly Rd
Suite 103
Eastpointe, MI 48021-2623
Phone
(586) 775-1910
Fax
(586) 775-8387
NPI assigned
Nov 30, 2007
Last updated
May 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2014

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

Authorized official

Name
Robert G Patrus, DPMNPI 1477582955
Title
Owner
Phone
(586) 775-1910

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5032850001 MI Primary

Addresses

Primary practice location

22480 Kelly Rd
Suite 103
Eastpointe, MI 48021-2623

Mailing address

22480 Kelly Rd
Suite 103
Eastpointe, MI 48021-2623
Phone (586) 775-1910

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1679755730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22480 KELLY RD",
            "address_2": "SUITE 103",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212623",
            "telephone_number": "586-775-1910",
            "fax_number": "586-775-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22480 KELLY RD",
            "address_2": "SUITE 103",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212623",
            "telephone_number": "586-775-1910",
            "fax_number": "586-775-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G PATRUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "PATRUS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-775-1910",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5032850001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.