IDEAL MEDICAL SUPPLY INC (NPI# 1528144060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528144060 |
| Entity Type | Organization |
| Organization Name | IDEAL MEDICAL SUPPLY INC |
| Practice Address |
2872 West Broad Street Ste 101 Columbus OH 43204-2645 |
| Mailing Address |
2658 W Broad St Ste 100 Columbus OH 43204-3329 |
| Practice Telephone | 6142380878 |
| Practice Fax Number | 6143437110 |
| Mailing Telephone | 6142380878 |
| Mailing Fax Number | 6143437110 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2013-08-28 |
| Authorized Official Name | LEONID KRUPOVLYANSKIY (CEO) |
| Authorized Official Telephone | 6142380878 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2562105 | 05 | |
| OH | 2890108 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700024866 | Ideal Medical Supply Inc | Pharmacy | 4040 E Broad St, Suite 105, Columbus, OH 43213-1156 | 2009-01-28 |
| Street Address |
2872 WEST BROAD STREET STE 101 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43204-2645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593587 | Raymond Jay Ellis | Technician | 2455 Sullivant Ave, Columbus, OH 43204 | 2019-05-13 |
| 1245791581 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 50 North Wilson Road, Columbus, OH 43204 | 2019-03-28 |
| 1770076192 | Morgan Elizabeth Garczyk | Optometrist | 2300 W Broad St Fl 2, Columbus, OH 43204 | 2018-06-11 |
| 1093240731 | Jerusha R Mcclendon | Social Worker | 3188 Mary Ave, Columbus, OH 43204 | 2017-05-01 |
| 1790235588 | American Senior Care Center LLC | Home Health | 3105 W Broad Street, Suite 2, Columbus, OH 43204 | 2016-10-05 |
| 1184082083 | Jordan Fontes | Nurse Practitioner | 2800 West Broad St, Columbus, OH 43204 | 2016-02-05 |
| 1073971248 | John R Sadaghiani | Dentist | 45 N. Wilson Rd, Columbus, OH 43204 | 2016-02-03 |
| 1245615806 | Brittany Muse | Occupational Therapist | 3615 Graybeck Drive, Columbus, OH 43204 | 2015-07-24 |
| 1528453842 | Sadaf Khan | Internal Medicine | 50 N Wilson Road, Columbus, OH 43204 | 2015-04-02 |
| 1053722629 | Kristen Basch | Pharmacist | 4248 Ongaro Dr, Columbus, OH 43204 | 2014-05-16 |
| Find all providers in zip 43204 | ||||
| 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 |
|---|---|---|---|---|
| 1417578972 | Steel City Medical Supplies | Durable Medical Equipment & Medical Supplies | 5900 Roche Dr Ste 315, Columbus, OH 43229-3292 | 2020-05-06 |
| 1336772003 | Cresthaven Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2577 S Hamilton Rd, Columbus, OH 43232-4964 | 2020-02-20 |
| 1578125860 | Sisters of Mercy Urgent Care, Inc | Durable Medical Equipment & Medical Supplies | 140 West Mills St, Suite A, Columbus, NC 28722-2872 | 2019-07-08 |
| 1063975787 | Sunny Dme, LLC | Durable Medical Equipment & Medical Supplies | 6555 Busch Blvd Ste 102, Columbus, OH 43229-1790 | 2019-04-09 |
| 1699240168 | Dasco Central Ohio, LLC | Durable Medical Equipment & Medical Supplies | 2348 Advanced Business Center Dr, Columbus, OH 43228-9040 | 2018-10-10 |
| 1063990620 | Ohio Medical Pharmacy Delivery LLC | Durable Medical Equipment & Medical Supplies | 4770 Sullivant Ave, Columbus, OH 43228-1918 | 2018-08-04 |
| 1942797345 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 1892 North High St, Columbus, OH 43210 | 2018-04-20 |
| 1740781301 | Flexmobility LLC | Durable Medical Equipment & Medical Supplies | 7000 Storage Ct Ste 20, Columbus, GA 31907-0705 | 2018-02-27 |
| 1578071965 | The Brace Experts LLC | Durable Medical Equipment & Medical Supplies | 1491 Polaris Pkwy Ste 20834, Columbus, OH 43240-2041 | 2018-01-19 |
| 1457865792 | First Choice Medical Equipment | Durable Medical Equipment & Medical Supplies | 867 W Town St Ste 102, Columbus, OH 43222-1662 | 2017-11-23 |
| Find all providers in COLUMBUS | ||||
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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.