Msa Shoe Services

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

18448670 Issued in OH

Legal business name

MSA SHOE SERVICES

Practice address

5929 Mayfield Road
Cleveland, OH 44124-2902

Phone

(440) 442-1443

Fax

(440) 442-1443

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Sion Khaimov

Title

Owner

Phone

(440) 442-1443

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MSA Orthopedic Shoes Doing business as

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154426153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 MAYFIELD ROAD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441242902",
            "telephone_number": "440-442-1443",
            "fax_number": "440-442-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 MAYFIELD ROAD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441242902",
            "telephone_number": "440-442-1443",
            "fax_number": "440-442-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSA SHOE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHAIMOV",
        "authorized_official_first_name": "SION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-442-1443",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "18448670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0989300",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSA Orthopedic Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Cleveland, OH
• Providers in Cleveland, 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 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.