Organization Active NPI

Patrick Medical Equipment Inc

  • Durable Medical Equipment & Medical Supplies
  • Ferndale, MI
National Provider Identifier
1871574855
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
B Issued in MI
Legal business name
PATRICK MEDICAL EQUIPMENT INC
Practice address
1737 E 9 Mile Rd
Ferndale, MI 48220-2039
Phone
(248) 398-3340
Fax
(248) 398-4088
NPI assigned
Nov 8, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Corazon N Puzon
Title
Vice President
Phone
(248) 398-3340

Specialties & licenses 1

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

Addresses

Primary practice location

1737 E 9 Mile Rd
Ferndale, MI 48220-2039

Mailing address

1737 E 9 Mile Rd
Ferndale, MI 48220-2039
Phone (248) 398-3340

Other identifiers 2

IdentifierTypeStateIssuer
2610312MedicaidMI
4535469MedicaidMI

National Provider Directory

National Provider Directory

Locations

1737 E 9 Mile Rd
Ferndale, MI 48220
Phone (248) 398-3340

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871574855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 E 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202039",
            "telephone_number": "248-398-3340",
            "fax_number": "248-398-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 E 9 MILE RD",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482202039",
            "telephone_number": "248-398-3340",
            "fax_number": "248-398-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PUZON",
        "authorized_official_first_name": "CORAZON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-398-3340",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2610312",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4535469",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.