Organization Active NPI

Svyatoslav Shparaga

  • Durable Medical Equipment & Medical Supplies
  • Baltimore, MD
National Provider Identifier
1265557458
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SVYATOSLAV SHPARAGA
Practice address
6821 Reisterstown Rd
204
Baltimore, MD 21215-1431
Phone
(410) 358-4415
Fax
(410) 358-4417
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Mr. Svyatoslav Shparaga
Title
Owner
Phone
(917) 361-7545

Specialties & licenses 1

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

Addresses

Primary practice location

6821 Reisterstown Rd
204
Baltimore, MD 21215-1431

Mailing address

1622 Nicodemus Rd
Reisterstown, MD 21136-5831

Other identifiers 1

IdentifierTypeStateIssuer
408043200MedicaidMD

Other names 1

  • S and S Medical Doing business as

National Provider Directory

National Provider Directory

Locations

6821 Reisterstown Rd
Ste 204
Baltimore, MD 21215
Phone (410) 358-4415

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1265557458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 NICODEMUS RD",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211365831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6821 REISTERSTOWN RD",
            "address_2": "204",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151431",
            "telephone_number": "410-358-4415",
            "fax_number": "410-358-4417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SVYATOSLAV SHPARAGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "SHPARAGA",
        "authorized_official_first_name": "SVYATOSLAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-361-7545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408043200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S and S Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.