Active NPI
Medical Equipment and Supplies of America LLC
- Durable Medical Equipment & Medical Supplies
- Clearwater, FL
National Provider Identifier
1306120662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDICAL EQUIPMENT AND SUPPLIES OF AMERICA LLC
- Practice address
- 11601 56TH CT N
Clearwater, FL 33760-4805 - Phone
- (727) 851-9880
- Fax
- (866) 727-2399
- NPI assigned
- Oct 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey E Cleveland
- Title
- Manager and President
- Phone
- (407) 383-5642
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
11601 56TH CT N
Clearwater, FL 33760-4805
Mailing address
11601 56TH CT N
Clearwater, FL 33760-4805
Phone (727) 851-9880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6675850001 | Other | FL | MEDICARE PTAN |
| 6675850001 | Other | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120430000449 | FL | DME Supplier - Medical Supply Company | 4981876752 | Practice locations: St Petersburg, FL |
National Provider Directory
National Provider Directory- Tax ID family
- Medical Equipment and Supplies of America LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- West Melbourne, FL
- NPI 1457720575
-
- Durable Medical Equipment & Medical Supplies
- Orlando, FL
- NPI 1750914826
-
- Durable Medical Equipment & Medical Supplies
- Gainesville, FL
- NPI 1831722909
-
- Durable Medical Equipment & Medical Supplies
- Centennial, CO
- NPI 1467821942
Locations
11601 56th Ct N
Clearwater, FL 33760
Phone (727) 851-9880
12035 34th St N
Ste 1
St Petersburg, FL 33716
Phone (407) 383-5642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411516800000",
"number": "1306120662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11601 56TH CT N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337604805",
"telephone_number": "727-851-9880",
"fax_number": "866-727-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11601 56TH CT N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337604805",
"telephone_number": "727-851-9880",
"fax_number": "866-727-2399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL EQUIPMENT AND SUPPLIES OF AMERICA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-05",
"last_updated": "2014-09-24",
"status": "A",
"authorized_official_last_name": "CLEVELAND",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "MANAGER AND PRESIDENT",
"authorized_official_telephone_number": "407-383-5642"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "6675850001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "6675850001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.