Provost Shoes
NPI 1447431945 · Durable Medical Equipment & Medical Supplies · Hazleton, PA
Enrolled with Medicare as Dme Supplier - Medical Supply Company With Orthotic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provost Shoes is a Durable Medical Equipment & Medical Supplies organization in Hazleton, PA (NPI 1447431945).
Provider details
- NPI number
- 1447431945
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- John Provost, Owner(570) 455-7704
- License
- 4244780002 (PA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-26
- Last updated
- 2007-12-05
Frequently asked questions
- What is Provost Shoes's NPI number?
- Provost Shoes's National Provider Identifier (NPI) is 1447431945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provost Shoes?
- Provost Shoes is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Provost Shoes located?
- Provost Shoes's practice location on file with NPPES is 25 Laurel Mall, Hazleton, PA 18202-1201.
- What is Provost Shoes's phone number?
- The practice phone number listed in the NPPES registry for Provost Shoes is (570) 455-7704.
- Does Provost Shoes accept Medicare?
- Provost Shoes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Provost Shoes?
- The authorized official listed on Provost Shoes's NPPES record is John Provost, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provost Shoes's NPI active?
- Yes — Provost Shoes's NPI (1447431945) is active in the NPPES registry as of the last update on 2007-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.