SS & Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

P02000088276 Issued in FL

Legal business name

SS & SUPPLY, INC.

Practice address

501 S Falkenburg Rd Ste D19
Tampa, FL 33619-8037

Phone

(813) 712-7200

Fax

(813) 712-7208

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Sandra Elena Santos

Title

President and Ceo

Phone

(813) 712-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SS Medical Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581379200000",
    "number": "1679518583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S FALKENBURG RD STE D19",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198037",
            "telephone_number": "813-712-7200",
            "fax_number": "813-712-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S FALKENBURG RD STE D19",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336198037",
            "telephone_number": "813-712-7200",
            "fax_number": "813-712-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SS & SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "813-712-7200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "P02000088276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032167200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SS Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SS Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mahavrat Shaheen Srivastava-Malick, MD
• Sangeeta Srivastava, OCCUPATIONAL THERAPI
• Vinita Srivastava, M.D.
• Angela Elaine Sroufe, M.D.
• Maurice Srour, DDS
• SS Hillsborough I Community HC LLC
• SS Hillsborough III Community HC LLC
• Pamela Jean St Amant Labadie, APRN
• St Charles Family Dentistry
• Georgia Beline St Fort, BA

• Durable Medical Equipment & Medical Supplies in Tampa, FL
• Providers in Tampa, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.