BOARDMAN MEDICAL SUPPLY CO (NPI# 1164582748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164582748 |
| Entity Type | Organization |
| Organization Name | BOARDMAN MEDICAL SUPPLY CO |
| Practice Address |
1204 30th St Nw Canton OH 44709-2923 |
| Mailing Address |
300 N State St Girard OH 44420-2538 |
| Practice Telephone | 3304924300 |
| Practice Fax Number | 3304927886 |
| Mailing Telephone | 3305456700 |
| Mailing Fax Number | 3305455555 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2018-04-11 |
| Authorized Official Name | ROBIN S IVANY (VICE PRESIDENT/GM) |
| Authorized Official Telephone | 3305456700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2627741 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407100621 | Boardman Medical Supply Co | Durable Medical Equipment & Medical Supplies | 2320 Lake Ave, Ashtabula, OH 44004-3440 | 2012-11-09 |
| 1871711358 | Boardman Medical Supply Co | Durable Medical Equipment & Medical Supplies | 719 E State St, Sharon, PA 16146-3327 | 2007-04-23 |
| 1073673653 | Boardman Medical Supply Co | Durable Medical Equipment & Medical Supplies | 1309 E Market St, Warren, OH 44483-6607 | 2006-12-12 |
| 1972663565 | Boardman Medical Supply Co | Durable Medical Equipment & Medical Supplies | 24000 Mercantile Rd, Suite 6, Beachwood, OH 44122-5913 | 2006-12-12 |
| 1255491833 | Boardman Medical Supply Co | Durable Medical Equipment & Medical Supplies | 404 Boardman Canfield Rd, Boardman, OH 44512-4703 | 2006-12-12 |
| 1609831395 | Boardman Medical Supply Co | Durable Medical Equipment & Medical Supplies | 300 N State St, Girard, OH 44420-2538 | 2006-04-18 |
| 1548320120 | Boardman Medical Supply Co | Durable Medical Equipment & Medical Supplies | 500 Market St, East Liverpool, OH 43920-3071 | 2006-12-12 |
| Street Address |
1204 30TH ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44709-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174093199 | Stone Crossing Skilled Care, LLC | Assisted Living Facility | 836 34th Street, Nw, Canton, OH 44709 | 2018-12-03 |
| 1346749736 | Jillia Katelynne Cook | Specialist/Technologist | 2223 29th St Nw, Canton, OH 44709 | 2018-02-12 |
| 1235675216 | Lisa Teeple | Speech-Language Pathologist | 2100 38th Street Nw, Stark County Educational Service Center, Canton, OH 44709 | 2017-01-13 |
| 1063825370 | Anton Zopel X | Occupational Therapist | 2100 38th St. Nw, Stark County Esc, Canton, OH 44709 | 2014-06-04 |
| 1902173560 | Abbey Baum-beigie | Nurse Practitioner | 626 34th Street Nw, Canton, OH 44709 | 2011-11-28 |
| 1114109832 | Alison Jensen | Dentist | 3934 Everhard Rd Nw, Canton, OH 44709 | 2007-12-04 |
| 1225234115 | Dr. Kuendig & Associates, Inc | Clinical Neuropsychologist | 100 30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
| 1851597751 | Richard C. Kuendig | Psychologist | 100-30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
| 1154540318 | Christopher A Watson | Specialist/Technologist | 515 25th Street Nw, Canton, OH 44709 | 2007-04-25 |
| 1205950979 | Plain Local School District | Local Education Agency (LEA) | 901 44th Street Nw, Canton, OH 44709 | 2007-03-19 |
| Find all providers in zip 44709 | ||||
| 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 |
|---|---|---|---|---|
| 1558968693 | Sanford Healthcare Accessories, LLC | Durable Medical Equipment & Medical Supplies | 723 E 5th St Ste 1, Canton, SD 57013-1870 | 2020-10-01 |
| 1740819077 | Horizon Medical Associates,inc | Durable Medical Equipment & Medical Supplies | 45 Dan Rd Ste 126, Canton, MA 02021-2860 | 2020-04-08 |
| 1770112021 | Northside Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 460 Northside Cherokee Blvd Ste 145, Canton, GA 30115-8016 | 2020-04-07 |
| 1063996593 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | 1600 S Canton Center Rd Ste 2200, Canton, MI 48188-6334 | 2018-09-20 |
| 1285139204 | Chawla Enterprises Inc | Durable Medical Equipment & Medical Supplies | 5840 N Canton Center Rd Ste 222, Canton, MI 48187 | 2018-03-30 |
| 1639622533 | Soleo Health, Inc | Durable Medical Equipment & Medical Supplies | 5 Shawmut Rd, Canton, MA 02021-1408 | 2016-07-27 |
| 1518314699 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 624 Market Ave N Ste 140, Canton, OH 44702-1017 | 2016-05-19 |
| 1386022010 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 625 Cleveland Ave Nw Ste 301, Canton, OH 44702-1805 | 2015-05-14 |
| 1861887523 | Soleo Health Inc. | Durable Medical Equipment & Medical Supplies | 5 Shawmut Road, Canton, MA 02021-1408 | 2015-03-31 |
| 1114310299 | North Central Medical Resources Inc | Durable Medical Equipment & Medical Supplies | 2820 Tuscarawas St W, Canton, OH 44708-4641 | 2015-03-12 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on BOARDMAN MEDICAL SUPPLY CO.
| 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.