NPIMap

Organization Active NPI

Electrostim Medical Services Inc

Doing business as Emsi

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
National Provider Identifier
1629167028
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1709 Issued in FL
Legal business name
ELECTROSTIM MEDICAL SERVICES INC
Doing business as
Emsi
Practice address
3504 Cragmont Dr
Suite # 100
Tampa, FL 33619-8336
Phone
(813) 931-2369
NPI assigned
Oct 12, 2006
Last updated
Apr 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Authorized official

Name
Mr. Mario Garcia Jr.
Title
Owner
Phone
(813) 931-2369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1709 FL Primary

Addresses

Primary practice location

3504 Cragmont Dr
Suite # 100
Tampa, FL 33619-8336

Mailing address

3504 Cragmont Dr
Suite # 100
Tampa, FL 33619-8336
Phone (813) 931-2369

Other identifiers 2

IdentifierTypeStateIssuer
024502200MedicaidFL
1531390MedicaidTN

Other names 1

  • EMSI Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930029637 FL DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic Personnel 5597960724 Practice locations: Tampa, FL

Other NPIs with the same Medicare PAC ID 4

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
Electrostim Medical Services Inc3504 Cragmont Dr, Tampa, FL 33619-8300(800) 588-8383 Neuromuscular Elect Stimulators (NMES)/Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf Accepts assignmentParticipating since Jan 1, 2010

National Provider Directory

National Provider Directory
Tax ID family
Electrostim Medical Services Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

6 Parklane Blvd
Ste 540
Dearborn, MI 48126
Phone (313) 254-2503

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1629167028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3504 CRAGMONT DR",
            "address_2": "SUITE # 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198336",
            "telephone_number": "813-931-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 CRAGMONT DR",
            "address_2": "SUITE # 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198336",
            "telephone_number": "813-931-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROSTIM MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-931-2369",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024502200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531390",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMSI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EMSI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.