Organization Active NPI

Midwest Medical Supply Corp.

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Westlake, OH
National Provider Identifier
1194722215
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
18481231 Issued in OH
Legal business name
MIDWEST MEDICAL SUPPLY CORP.
Practice address
24340 Sperry Dr
1St Floor
Westlake, OH 44145-1565
Phone
(440) 835-0660
Fax
(440) 835-2029
NPI assigned
Jul 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Mr. Norman A. Fox Jr.
Title
Vice President
Phone
(440) 617-2113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 18481231 OH Primary

Addresses

Primary practice location

24340 Sperry Dr
1St Floor
Westlake, OH 44145-1565

Mailing address

24340 Sperry Dr
1St Floor
Westlake, OH 44145-1565
Phone (440) 835-0660

National Provider Directory

National Provider Directory

Locations

24340 Sperry Dr
Fl 1
Westlake, OH 44145
Phone (440) 835-0660

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1194722215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24340 SPERRY DR",
            "address_2": "1ST FLOOR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451565",
            "telephone_number": "440-835-0660",
            "fax_number": "440-835-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24340 SPERRY DR",
            "address_2": "1ST FLOOR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451565",
            "telephone_number": "440-835-0660",
            "fax_number": "440-835-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL SUPPLY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "440-617-2113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "OH",
            "license": "18481231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.