Active NPI
Lorraine Surgical Supply Inc
- Durable Medical Equipment & Medical Supplies
- Middleburg Heights, OH
National Provider Identifier
1376512194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0276786 | Medicaid | OH | |
| 792625100 | Medicaid | MN | |
| 000000155418 | Other | OH | ANTHEM BCBS |
| 0276786 | Other | OH | BUREAU FOR CHILDREN WITH |
Other names 1
- Shield Healthcare OH, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930000136 | OH | DME Supplier - Medical Supply Company | 8820115462 | Practice locations: Middleburg Heights, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lorraine Surgical Supply Inc | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.