Pro2 Kokomo, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PRO2 KOKOMO, LLC

Practice address

2016 W Sycamore St
Kokomo, IN 46901-4112

Phone

(765) 868-8344

Fax

(765) 868-8345

NPI assigned

Feb 27, 2013

Last updated

Feb 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Timothy Ford

Title

President/Ceo

Phone

(513) 338-8201

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1700126760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014112",
            "telephone_number": "765-868-8344",
            "fax_number": "765-868-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 W SYCAMORE ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469014112",
            "telephone_number": "765-868-8344",
            "fax_number": "765-868-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO2 KOKOMO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "513-338-8201"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brielle Renae Pridemore
• Tonya Lynn Prifogle, MA, NCC, LMHC
• Edward Prince
• Mirikle Prince
• Lindsay Marie Pringle, RN, FNP-C
• David I Proctor III, OT
• Provider Partners Care Management Indiana LLC
• Psychotherapy Associates of Kokomo, LLC
• Shiloh Pullen
• Kushagra Pundir, MD

• Oxygen Equipment & Supplies (DME) in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Oxygen Equipment & Supplies (DME) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.