Provider Plus, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROVIDER PLUS, INC.

Practice address

2512 Creek Trail CT
Jefferson City, MO 65109-9245

Phone

(573) 634-0048

Fax

(573) 634-0037

NPI assigned

Jun 18, 2008

Last updated

Jul 12, 2021By 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

Stephen Griggs

Title

Ceo

Phone

(407) 206-0040

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Med Star Surgical & Breathing Equipment Inc

  dba AdaptHealth NY

  • Durable Medical Equipment & Medical Supplies
  • Middletown, NY
  • NPI 1902647555

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1740441229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W GERMANTOWN PIKE STE 250",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 CREEK TRAIL CT",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651099245",
            "telephone_number": "573-634-0048",
            "fax_number": "573-634-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER PLUS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "GRIGGS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-206-0040"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740441229",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prolab Servicse Inc
• Monika M Prost, MD
• Prosyre, LLC
• Ginger Elizabeth Protzman, FNP-BC
• Robert A Protzman
• Robert Craig Pryor
• Maureen Purdy, RN
• Pyramid Home Health Services- Jefferson City, Inc (Elara Caring)
• Pyramid Pharmacy, LLC (Pyramid Pharmacy)
• R D Obermeier Hearing Services L.L.C. (Miracle Ear)

• Durable Medical Equipment & Medical Supplies in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.