Active NPI
Progressive Medical Equipment & Supplies, Inc
- Durable Medical Equipment & Medical Supplies
- Canton, MI
National Provider Identifier
1699783399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930056699 | MI | DME Supplier - Medical Supply Company | 3971706672 | Practice locations: Canton, MI |
National Provider Directory
National Provider DirectoryLocations
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.