R.P. Soutter Enterprises, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

456560 Issued in CT

Legal business name

R.P. SOUTTER ENTERPRISES, INC.

Practice address

461 N Main St
Southington, CT 06489-2051

Phone

(860) 621-9166

Fax

(860) 621-9167

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert P. Soutter, CERT ORTHOTIC FITTER

Title

President

Phone

(860) 621-9166

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• HARVEST MEDICAL & SURGICAL SUPPLIES Doing business as

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1962416800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 N MAIN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892051",
            "telephone_number": "860-621-9166",
            "fax_number": "860-621-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 N MAIN ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892051",
            "telephone_number": "860-621-9166",
            "fax_number": "860-621-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R.P. SOUTTER ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "SOUTTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-621-9166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CERT ORTHOTIC FITTER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "456560",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CT",
            "license": "456560",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004068847",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "0R4654",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "245161",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "12DME0264CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARVEST MEDICAL & SURGICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Southington, CT
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• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.