MSA SHOE SERVICES (NPI# 1154426153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154426153 |
| Entity Type | Organization |
| Organization Name | MSA SHOE SERVICES |
| Other Organization Name | MSA ORTHOPEDIC SHOES |
| Practice Address |
5929 Mayfield Road Cleveland OH 44124-2902 |
| Practice Telephone | 4404421443 |
| Practice Fax Number | 4404421443 |
| Mailing Telephone | 4404421443 |
| Mailing Fax Number | 4404421443 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SION KHAIMOV (OWNER) |
| Authorized Official Telephone | 4404421443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 18448670 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0989300 | 05 |
| Other Name | Type Code |
|---|---|
| MSA Orthopedic Shoes | Doing Business As Name - Organization |
| Street Address |
5929 MAYFIELD ROAD |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44124-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| Find all providers in zip 44124 | ||||
| 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 |
|---|---|---|---|---|
| 1467072363 | Buckeye Dme, LLC | Durable Medical Equipment & Medical Supplies | 11201 Shaker Blvd Ste 322, Cleveland, OH 44104-3871 | 2020-04-21 |
| 1194382721 | Great Lakes Neurotechnologies | Durable Medical Equipment & Medical Supplies | 6100 Rockside Woods Blvd N Ste 415, Cleveland, OH 44131-2339 | 2019-05-20 |
| 1326505033 | Cpap Equipsource | Durable Medical Equipment & Medical Supplies | 6629 Engle Rd Ste 106, Cleveland, OH 44130-7943 | 2019-02-28 |
| 1417424938 | Northern Ohio Medical Specialists, LLC | Durable Medical Equipment & Medical Supplies | 2905 Lorain Ave, Cleveland, OH 44113-3405 | 2018-11-02 |
| 1508331471 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1744 Payne Ave Ste P1, Cleveland, OH 44114-2910 | 2018-10-08 |
| 1699271999 | Pharmco | Durable Medical Equipment & Medical Supplies | 570 Paul Huff Pkwy Nw, Cleveland, TN 37312-2957 | 2018-04-04 |
| 1033624457 | Eastside Dme Supply | Durable Medical Equipment & Medical Supplies | 2775 S Moreland Blvd Fl 3, Cleveland, OH 44120-2397 | 2017-12-07 |
| 1437601804 | Anesthesia Services Associates | Durable Medical Equipment & Medical Supplies | 903 E Sunflower Rd Ste 200, Cleveland, MS 38732-2836 | 2016-11-01 |
| 1730550062 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10001 Chester Ave Ste B, Cleveland, OH 44106-1659 | 2015-10-13 |
| 1013383553 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 255 Ocoee Xing Nw, Cleveland, TN 37312-4872 | 2015-08-19 |
| Find all providers in CLEVELAND | ||||
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| 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.