Organization Active NPI

Patriot LLC

  • Durable Medical Equipment & Medical Supplies
  • Lewis Center, OH
National Provider Identifier
1871564401
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HMEL11105 Issued in OH
Legal business name
PATRIOT LLC
Practice address
651 Bear Run LN
Lewis Center, OH 43035-8298
Phone
(614) 888-8452
Fax
(614) 888-8453
NPI assigned
Jan 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Authorized official

Name
Scott T Lynch
Title
Owner
Phone
(614) 888-8452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HMEL11105 OH Primary

Addresses

Primary practice location

651 Bear Run LN
Lewis Center, OH 43035-8298

Mailing address

651 Bear Run LN
Lewis Center, OH 43035-8298
Phone (614) 888-8452

Other identifiers 1

IdentifierTypeStateIssuer
2336181MedicaidOH

Other names 1

  • Patriot Medical Doing business as

National Provider Directory

National Provider Directory

Locations

651 Bear Run Ln
Lewis Center, OH 43035
Phone (614) 888-8452

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1871564401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 BEAR RUN LN",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358298",
            "telephone_number": "614-888-8452",
            "fax_number": "614-888-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 BEAR RUN LN",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358298",
            "telephone_number": "614-888-8452",
            "fax_number": "614-888-8453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-888-8452"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMEL11105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2336181",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patriot Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.