Diabetic Supply Foundation of Belmont, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

78070196 Issued in OH

Legal business name

DIABETIC SUPPLY FOUNDATION OF BELMONT, INC.

Doing business as

Diabetic Medical Supply

Practice address

2835 Elm Rd NE
Warren, OH 44483-2663

Phone

(330) 609-7804

NPI assigned

Dec 1, 2005

Last updated

Aug 22, 2020By 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

Mrs. Susan K Genaro

Title

Vice President

Phone

(330) 609-7804

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Diabetic Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215911508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 ELM RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832663",
            "telephone_number": "330-609-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 ELM RD NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444832663",
            "telephone_number": "330-609-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC SUPPLY FOUNDATION OF BELMONT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENARO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "330-609-7804",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "78070196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53668301",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701593",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0272502",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6201065000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DMO596",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetic Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony R Desalvo, M.D.
• Nicole Marie Descenna
• Michael Andrew Dever
• Allison Dezelan, CDCA
• Salvatore Di Liello, N.D.
• Leanna Diaz
• Diane Grace Dicenso, CRNA
• Travis Robert Dickey, PHYSICAL THERAPIST
• William Dickey III, LPCC
• Gerald E Dickson, D.C.

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