Organization Active NPI

Ingolia Medical Service, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Rochester Hills, MI
National Provider Identifier
1811935992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INGOLIA MEDICAL SERVICE, INC.
Practice address
1790 S Livernois Rd
Ste. 113
Rochester Hills, MI 48307-3375
Phone
(248) 299-3655
Fax
(248) 299-3695
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard P. Ingoglia
Title
President
Phone
(248) 299-3655

Specialties & licenses 1

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

Addresses

Primary practice location

1790 S Livernois Rd
Ste. 113
Rochester Hills, MI 48307-3375

Mailing address

1739 Brookview Cir
Bloomfield Hills, MI 48304-1220
Phone (248) 299-3655

Other identifiers 2

IdentifierTypeStateIssuer
1768743MedicaidMI
OF3058454OtherMIBCBSM

National Provider Directory

National Provider Directory

Locations

1790 S Livernois Rd
Ste 113
Rochester Hills, MI 48307
Phone (248) 299-3655

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811935992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 BROOKVIEW CIR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041220",
            "telephone_number": "248-299-3655",
            "fax_number": "248-299-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 S LIVERNOIS RD",
            "address_2": "STE. 113",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483073375",
            "telephone_number": "248-299-3655",
            "fax_number": "248-299-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGOLIA MEDICAL SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "INGOGLIA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-299-3655"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1768743",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "OF3058454",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.