Organization Active NPI

Shield Innovations Inc

  • Durable Medical Equipment & Medical Supplies
  • Oldsmar, FL
National Provider Identifier
1083378020
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SHIELD INNOVATIONS INC
Practice address
107 Pinckney St
Oldsmar, FL 34677-3142
Phone
(727) 518-9773
NPI assigned
Oct 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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

Authorized official

Name
Mr. Ed Mauro
Title
President
Phone
(727) 470-4752

Specialties & licenses 1

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

Addresses

Primary practice location

107 Pinckney St
Oldsmar, FL 34677-3142

Mailing address

2151 Diamond CT
Oldsmar, FL 34677-1948
Phone (172) 470-4752

National Provider Directory

National Provider Directory

Locations

107 Pinckney St
Oldsmar, FL 34677
Phone (727) 518-9773

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1083378020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 DIAMOND CT",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346771948",
            "telephone_number": "172-470-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PINCKNEY ST",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346773142",
            "telephone_number": "727-518-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD INNOVATIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-26",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "MAURO",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-470-4752",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.