Active NPI
LTC Supply
- Durable Medical Equipment & Medical Supplies
- Columbus, OH
National Provider Identifier
1598850059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0218857 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.