Fitzsimmons Surgical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FITZSIMMONS SURGICAL SUPPLY INC

Practice address

6177 Broadway
Merrillville, IN 46410-3001

Phone

(219) 887-7718

Fax

(219) 887-0460

NPI assigned

Sep 27, 2006

Last updated

Nov 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas J Fitzsimmons

Title

President

Phone

(708) 532-1199

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Fitzsimmons Surgical Supply Inc

  dba Fitzsimmons Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1023669900

  1951428127

  Same PAC ID
• Fitzsimmons Surgical Supply Inc

  dba Fitzsimmons Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Indianapolis, IN
  • NPI 1487473039

  1951428127

  Same PAC ID
• Fitzsimmons Surgical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Tinley Park, IL
  • NPI 1114018785

  1951428127

  Same PAC ID
• Fitzsimmons Surgical Supply Inc

  dba Fitzsimmons Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Pompano Beach, FL
  • NPI 1518674142

  1951428127

  Same PAC ID
• Fitzsimmons Surgical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Bensenville, IL
  • NPI 1740371400

  1951428127

  Same PAC ID

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

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1427149186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1127",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604777927",
            "telephone_number": "708-532-1199",
            "fax_number": "708-532-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6177 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464103001",
            "telephone_number": "219-887-7718",
            "fax_number": "219-887-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZSIMMONS SURGICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-532-1199",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1670010",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100278530",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Med, P.C.
• Amara Fisher, RBT
• Ashley Fisher
• Haley Fisher
• Patricia L Fisher, LPN
• Ethan Flaherty
• Jessi Fleishman
• Shebly Fleming
• Julia Anna Fleszewski
• Lauren Fletcher

• Durable Medical Equipment & Medical Supplies in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Durable Medical Equipment & Medical Supplies in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.