PRIMUS MEDICAL L.L.C (NPI# 1902958655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902958655 |
| Entity Type | Organization |
| Organization Name | PRIMUS MEDICAL L.L.C |
| Practice Address |
388 Mcclurg Rd Ste 1 Boardman OH 44512-6427 |
| Practice Telephone | 3309659681 |
| Practice Fax Number | 3309659683 |
| Mailing Telephone | 3309659681 |
| Mailing Fax Number | 3309659683 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK R SHAW (PRESIDENT) |
| Authorized Official Telephone | 3309659681 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
388 MCCLURG RD STE 1 |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-6427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| 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 |
|---|---|---|---|---|
| 1922628437 | John A Flauto Dpm LLC | Durable Medical Equipment & Medical Supplies | 7010 South Ave Ste 3, Boardman, OH 44512-3603 | 2020-04-24 |
| 1679930564 | New Life Hearing Aid Center, Inc. | Durable Medical Equipment & Medical Supplies | 888 Boardman-canfield Rd, Suite B, Boardman, OH 44512 | 2016-01-22 |
| 1659515815 | Therapy Support, Inc. | Durable Medical Equipment & Medical Supplies | 4300 Simon Rd, Boardman, OH 44512-1326 | 2009-04-30 |
| 1588790679 | Health Care Solutions At Home Inc. | Durable Medical Equipment & Medical Supplies | 6961 Southern Blvd, Ste B, Boardman, OH 44512-4653 | 2007-02-26 |
| 1255491833 | Boardman Medical Supply Co | Durable Medical Equipment & Medical Supplies | 404 Boardman Canfield Rd, Boardman, OH 44512-4703 | 2006-12-12 |
| 1811090541 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 7230 Market St, Boardman, OH 44512-4513 | 2006-09-07 |
| 1770598799 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7295 Market St, Boardman, OH 44512-4556 | 2006-07-29 |
| 1467474171 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 417 Boardman Poland Rd, Boardman, OH 44512-4907 | 2006-07-24 |
| 1396762498 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 6361 South Ave, Boardman, OH 44512-3619 | 2006-07-16 |
| 1881291904 | Dasco Hme, LLC | Durable Medical Equipment & Medical Supplies | 1280 Boardman Canfield Rd, Boardman, OH 44512-4073 | 2020-10-01 |
| Find all providers in BOARDMAN | ||||
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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.