Nationwide Diabetes Supply Center LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NATIONWIDE DIABETES SUPPLY CENTER LLC

Practice address

14200 Ellsworth Rd
Berlin Center, OH 44401-8753

Phone

(866) 400-4347

NPI assigned

May 3, 2006

Last updated

Jul 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason M Roth

Title

Chief Executive Officer

Phone

(866) 400-4347

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1073571220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 ELLSWORTH RD",
            "city": "BERLIN CENTER",
            "state": "OH",
            "postal_code": "444018753",
            "telephone_number": "866-400-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 ELLSWORTH RD",
            "city": "BERLIN CENTER",
            "state": "OH",
            "postal_code": "444018753",
            "telephone_number": "866-400-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE DIABETES SUPPLY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "866-400-4347",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dina Renee Freyn
• Nora A. Jamison, RN
• Jodi Kale
• Lesa Liebhart
• Robert John McBride, P.C.C.
• Barbara J. Scott, COTA/L
• Evangeline Shipley
• Tele Wellness Center LLC
• Beverley Truitt
• Michael Vuletich, RPH

• Durable Medical Equipment & Medical Supplies in Berlin Center, OH
• Providers in Berlin Center, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.