Organization Active NPI

G T B Medical Service Inc

  • Durable Medical Equipment & Medical Supplies
  • Brunswick, OH
National Provider Identifier
1740340215
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
648650 Issued in OH
Legal business name
G T B MEDICAL SERVICE INC
Practice address
366 Pearl Road
Brunswick, OH 44212-1120
Phone
(330) 225-2551
Fax
(330) 220-8965
NPI assigned
Dec 12, 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. Lorraine M Betz
Title
Office Manager Vice President
Phone
(330) 225-2551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 648650 OH Primary

Addresses

Primary practice location

366 Pearl Road
Brunswick, OH 44212-1120

Mailing address

366 Pearl Road
Brunswick, OH 44212-1120
Phone (330) 225-2551

Other identifiers 2

IdentifierTypeStateIssuer
0738241MedicaidOH
000000155598OtherANTHEM BLUE CROSS

National Provider Directory

National Provider Directory

Locations

366 Pearl Rd
Brunswick, OH 44212
Phone (330) 225-2551

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740340215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 PEARL ROAD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442121120",
            "telephone_number": "330-225-2551",
            "fax_number": "330-220-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 PEARL ROAD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442121120",
            "telephone_number": "330-225-2551",
            "fax_number": "330-220-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G T B MEDICAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BETZ",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER  VICE PRESIDENT",
        "authorized_official_telephone_number": "330-225-2551",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "648650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0738241",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000155598",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, 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.