Organization Active NPI

Medical Equipment and Supplies of America LLC

  • Durable Medical Equipment & Medical Supplies
  • Clearwater, FL
National Provider Identifier
1306120662
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Sep 24, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6675850001OtherFLMEDICARE PTAN
6675850001OtherPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120430000449 FL DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 4981876752 Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory
Tax ID family
Medical Equipment and Supplies of America LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.