Organization Active NPI

Nationwide Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Shaker Heights, OH
National Provider Identifier
1104937275
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HMEL11189 Issued in OH
Legal business name
NATIONWIDE MEDICAL SUPPLIES
Practice address
3657 Lee Rd
Shaker Heights, OH 44120-5108
Phone
(216) 752-9331
Fax
(216) 752-9653
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Henry Omodiaogbe
Title
Owner/ Manager
Phone
(216) 752-9331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HMEL11189 OH Primary

Addresses

Primary practice location

3657 Lee Rd
Shaker Heights, OH 44120-5108

Mailing address

3657 Lee Rd
Shaker Heights, OH 44120-5108
Phone (216) 752-9331

National Provider Directory

National Provider Directory

Locations

3657 Lee Rd
Shaker Heights, OH 44120
Phone (216) 752-9331

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104937275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3657 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205108",
            "telephone_number": "216-752-9331",
            "fax_number": "216-752-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3657 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205108",
            "telephone_number": "216-752-9331",
            "fax_number": "216-752-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONWIDE MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OMODIAOGBE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "216-752-9331",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "HMEL11189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.