Boardman Medical Supply Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BOARDMAN MEDICAL SUPPLY CO

Practice address

2320 Lake Ave
Ashtabula, OH 44004-3440

Phone

(440) 536-5593

Fax

(440) 536-5597

NPI assigned

Nov 9, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Robin S. Ivany

Title

Vice President/GM

Phone

(330) 545-6700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1407100621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N STATE ST",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444202538",
            "telephone_number": "330-545-6700",
            "fax_number": "330-545-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043440",
            "telephone_number": "440-536-5593",
            "fax_number": "440-536-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARDMAN MEDICAL SUPPLY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "IVANY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "VICE PRESIDENT/GM",
        "authorized_official_telephone_number": "330-545-6700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Hannah Blake
• Robert Blake, P.T.
• Tabitha Blevins
• Cody Blood, DPT
• Jennifer Bloom, COTA
• Daniel Emerson Bobish, HAS
• Kenneth Paul Bodine Jr.
• Susan Adele Bogardus
• Paula M Boggs
• Jaclyn Bojewski, PHARMD.

• Durable Medical Equipment & Medical Supplies in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.