Organization Active NPI

Progressive Medical Equipment & Supplies, Inc

  • Durable Medical Equipment & Medical Supplies
  • Canton, MI
National Provider Identifier
1699783399
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N/A
Legal business name
PROGRESSIVE MEDICAL EQUIPMENT & SUPPLIES, INC
Practice address
5840 N Canton Center Rd
Suite 210
Canton, MI 48187-2684
Phone
(734) 354-4091
Fax
(734) 354-4092
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Authorized official

Name
Mr. Syed Asghar Raza
Title
President
Phone
(734) 354-4091

Specialties & licenses 1

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

Addresses

Primary practice location

5840 N Canton Center Rd
Suite 210
Canton, MI 48187-2684

Mailing address

5840 N Canton Center Rd
Suite 210
Canton, MI 48187-2684
Phone (734) 354-4091

Other names 1

  • PROGRESSIVE MEDICAL EQUIPMENT & SUPPLIES Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930056699 MI DME Supplier - Medical Supply Company 3971706672 Practice locations: Canton, MI

National Provider Directory

National Provider Directory

Locations

5840 N Canton Center Rd
Ste 210
Canton, MI 48187
Phone (734) 354-4091

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1699783399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5840 N CANTON CENTER RD",
            "address_2": "SUITE 210",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872684",
            "telephone_number": "734-354-4091",
            "fax_number": "734-354-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 N CANTON CENTER RD",
            "address_2": "SUITE 210",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481872684",
            "telephone_number": "734-354-4091",
            "fax_number": "734-354-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MEDICAL EQUIPMENT & SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "ASGHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-354-4091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROGRESSIVE MEDICAL EQUIPMENT & SUPPLIES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.