Organization Active NPI

Medical Technology Resources

  • Durable Medical Equipment & Medical Supplies
  • Columbus, OH
National Provider Identifier
1972602068
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0869 Issued in OH
Legal business name
MEDICAL TECHNOLOGY RESOURCES
Practice address
400 Lazelle Road
Suite 7
Columbus, OH 43240-2077
Phone
(888) 250-5699
Fax
(877) 861-2488
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Mr. Andrew R Amicon
Title
President/Ceo
Phone
(888) 250-5699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0869 OH Primary

Addresses

Primary practice location

400 Lazelle Road
Suite 7
Columbus, OH 43240-2077

Mailing address

400 Lazelle Road
Suite 7
Columbus, OH 43240-2077
Phone (888) 250-5699

Other identifiers 1

IdentifierTypeStateIssuer
2585966MedicaidOH

National Provider Directory

National Provider Directory

Locations

400 Lazelle Rd
Ste 7
Columbus, OH 43240
Phone (614) 888-7870

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1972602068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAZELLE ROAD",
            "address_2": "SUITE 7",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402077",
            "telephone_number": "888-250-5699",
            "fax_number": "877-861-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAZELLE ROAD",
            "address_2": "SUITE 7",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402077",
            "telephone_number": "888-250-5699",
            "fax_number": "877-861-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TECHNOLOGY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "AMICON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "888-250-5699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "0869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2585966",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.