Organization Active NPI

Fitzsimmons Surgical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Pompano Beach, FL
National Provider Identifier
1518674142
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FITZSIMMONS SURGICAL SUPPLY INC
Practice address
1450 SW 3Rd St Ste a-10
Pompano Beach, FL 33069-3215
Phone
(954) 363-1305
Fax
(954) 603-8976
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Thomas Fitzsimmons
Title
President
Phone
(708) 532-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1450 SW 3Rd St Ste a-10
Pompano Beach, FL 33069-3215

Mailing address

PO Box 1127
Tinley Park, IL 60477-7927
Phone (708) 532-1199

Other identifiers 1

IdentifierTypeStateIssuer
118472300MedicaidFL

Other names 1

  • Fitzsimmons Home Medical Equipment Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231208001898 FL DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 1951428127 Practice locations: Pompano Beach, FL

Other NPIs with the same Medicare PAC ID 5

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

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
Fitzsimmons Surgical Supply Inc1450 SW 3Rd St, Pompano Beach, FL 33069-3215(954) 363-1305 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Suppl… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Fitzsimmons Surgical Su5 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

1450 SW 3rd St
Ste A10
Pompano Beach, FL 33069
Phone (954) 363-1305

6442 Cermak Rd
Berwyn, IL 60402
Phone (708) 795-6300

1906 N Halsted St
Chicago, IL 60614
Phone (312) 665-0080

6428 N Milwaukee Ave
Chicago, IL 60631
Phone (773) 631-6316

2747 W 95th St
Evergreen Pk, IL 60805
Phone (708) 636-0260

17660 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 957-9500

6177 Broadway
Merrillville, IN 46410
Phone (219) 887-7718

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1518674142",
    "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": "708-532-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SW 3RD ST STE A-10",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693215",
            "telephone_number": "954-363-1305",
            "fax_number": "954-603-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZSIMMONS SURGICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "FITZSIMMONS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-532-1199"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118472300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitzsimmons Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fitzsimmons Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.