Organization Active NPI

Lorraine Surgical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Middleburg Heights, OH
National Provider Identifier
1376512194
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LORRAINE SURGICAL SUPPLY INC
Doing business as
Shield Healthcare OH, Inc.
Practice address
17520 Engle Lake Dr Ste a
Middleburg Heights, OH 44130-8360
Phone
(216) 281-4777
Fax
(216) 281-4940
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Mr. Mike Suor
Title
VP General Manager
Phone
(661) 294-4200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

17520 Engle Lake Dr Ste a
Middleburg Heights, OH 44130-8360

Mailing address

27911 Franklin Pkwy
Valencia, CA 91355-4110
Phone (661) 294-4200

Other identifiers 4

IdentifierTypeStateIssuer
0276786MedicaidOH
792625100MedicaidMN
000000155418OtherOHANTHEM BCBS
0276786OtherOHBUREAU FOR CHILDREN WITH

Other names 1

  • Shield Healthcare OH, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930000136 OH DME Supplier - Medical Supply Company 8820115462 Practice locations: Middleburg Heights, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Lorraine Surgical Supply Inc17520 Engle Lake Dr, Middleburg Heights, OH 44130-8360(216) 281-4777 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Insulin Infusion Pumps and/or Supplies|Negative Pressure Wound Therapy Pumps/Supplies|Orthoses: Off-The-Shelf|Ostomy Supplies|Tracheotomy Supplies|Urological Supplies|Enteral Nut… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

17520 Engle Lake Dr
Unit Ab
Cleveland, OH 44130

2080 W 65th St
Cleveland, OH 44102

17520 Engle Lake Dr
Ste A
Middleburg Heights, OH 44130
Phone (216) 281-4777

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1376512194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27911 FRANKLIN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554110",
            "telephone_number": "661-294-4200",
            "fax_number": "661-294-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 ENGLE LAKE DR STE A",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308360",
            "telephone_number": "216-281-4777",
            "fax_number": "216-281-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORRAINE SURGICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "SUOR",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP GENERAL MANAGER",
        "authorized_official_telephone_number": "661-294-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276786",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "792625100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000155418",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU FOR CHILDREN WITH",
            "identifier": "0276786",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shield Healthcare OH, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.