Organization Active NPI

LTC Supply

  • Durable Medical Equipment & Medical Supplies
  • Columbus, OH
National Provider Identifier
1598850059
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LTC SUPPLY
Practice address
781 Northwest Blvd
Columbus, OH 43212
Phone
(614) 297-6967
Fax
(877) 297-7380
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Amy Elizabeth Waid
Title
President
Phone
(330) 637-2330

Specialties & licenses 1

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

Addresses

Primary practice location

781 Northwest Blvd
Columbus, OH 43212

Mailing address

2332 Cadwallader Sonk
Cortland, OH 44410
Phone (330) 637-2330

Other identifiers 1

IdentifierTypeStateIssuer
0218857MedicaidOH

National Provider Directory

National Provider Directory

Locations

781 Northwest Blvd
Columbus, OH 43212
Phone (614) 297-6967

2332 Cadwallader Sonk Rd
Cortland, OH 44410

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598850059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 CADWALLADER SONK",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "44410",
            "telephone_number": "330-637-2330",
            "fax_number": "330-637-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 NORTHWEST BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43212",
            "telephone_number": "614-297-6967",
            "fax_number": "877-297-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAID",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-637-2330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0218857",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.