CLEARWATER MEDICAL SUPPLY, INC (NPI# 1023502184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023502184 |
| Entity Type | Organization |
| Organization Name | CLEARWATER MEDICAL SUPPLY, INC |
| Practice Address |
4707 140th Ave N Ste 312 Clearwater FL 33762 |
| Mailing Address |
4707 140th Ave N Ste 312 Clearwater FL 33762-3841 |
| Practice Telephone | 7277544341 |
| Mailing Telephone | 7277544341 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2019-03-02 |
| Authorized Official Name | ANISOV VITALIV (OWNER) |
| Authorized Official Telephone | 7277544341 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
4707 140TH AVE N STE 312 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051850 | Kimberly L Johnson | Home Health | 14055 46th Street North Suite 1102, Clearwater, FL 33762 | 2020-04-03 |
| 1134756869 | Pinellas County Sheriff's Office | Clinic/Center | Pinellas County Jail, 14400 49th Street North, Clearwater, FL 33762 | 2020-03-24 |
| 1285272815 | Gastro Florida Pharmacy, LLC | Pharmacy | 3001 Executive Drive, Suite 130, Clearwater, FL 33762 | 2019-12-13 |
| 1013401108 | Franz Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 4707 140th Ave N Ste 307, Clearwater, FL 33762 | 2018-06-21 |
| 1861803850 | Pinellas 1 Home Health Corp | Home Health | 4707 140th Avenue North Ste 106a, Clearwater, FL 33762 | 2014-05-13 |
| 1093065633 | Fast360 LLC | Transportation Broker | 10200 49th St N Ste 100, Clearwater, FL 33762 | 2012-09-11 |
| 1316253867 | Sophia Zavrou | Psychologist | 2325 Ulmerton Rd Ste 7g, Clearwater, FL 33762 | 2010-08-22 |
| 1356671275 | Suncoast Medicare Supply Company Inc. | Durable Medical Equipment & Medical Supplies | 4552b 107th Circle N, Clearwater, FL 33762 | 2009-12-29 |
| 1407006042 | Cynthia Rena' Williams | Physical Therapist | 13535 Feather Sound Dr., Suite 135, Clearwater, FL 33762 | 2008-09-19 |
| 1114138468 | Christine M. Jaggi | Psychologist | 14250 49th Street N, H3014, Clearwater, FL 33762 | 2007-05-25 |
| Find all providers in zip 33762 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097885 | Easy Durable Medical, LLC | Durable Medical Equipment & Medical Supplies | 611 Druid Rd E Ste 402, Clearwater, FL 33756-3920 | 2020-09-15 |
| 1750991527 | Sammys Caregiving | Durable Medical Equipment & Medical Supplies | 2325 Ulmerton Rd Ste 7b, Clearwater, FL 33762-2282 | 2020-08-05 |
| 1508481417 | Royal Medical LLC | Durable Medical Equipment & Medical Supplies | 14004 Roosevelt Blvd Ste 608, Clearwater, FL 33762-3819 | 2020-06-16 |
| 1588288781 | Timothy Rivard | Durable Medical Equipment & Medical Supplies | 2655 Ulmerton Rd Ste 283, Clearwater, FL 33762-3337 | 2020-06-03 |
| 1023654449 | Seawa Enterprise LLC | Durable Medical Equipment & Medical Supplies | 1802 North Belcher Road, Suite 100, Clearwater, FL 33765 | 2019-11-20 |
| 1770041923 | Sailing Up Health, Inc | Durable Medical Equipment & Medical Supplies | 25008 Us Highway 19 N, Clearwater, FL 33763-3918 | 2019-03-06 |
| 1316402399 | Kangaroo Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1727 Coachman Plaza Dr Ste 112, Clearwater, FL 33759-1905 | 2019-02-05 |
| 1114481819 | Igloo Health, Inc. | Durable Medical Equipment & Medical Supplies | 1727 Coachman Plaza Dr Ste 110, Clearwater, FL 33759-1905 | 2019-01-27 |
| 1376011700 | Olive Medical Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 1465 S Fort Harrison Ave Ste 208, Clearwater, FL 33756-2504 | 2018-11-03 |
| 1891270526 | A Step Above Medical, Inc. | Durable Medical Equipment & Medical Supplies | 715 Pinellas St Ste 2, Clearwater, FL 33756-3426 | 2018-09-28 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33762 |
Please comment or provide details below to improve the information on CLEARWATER MEDICAL SUPPLY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.