OrganizationActive
Boardman Medical Supply Co
NPI 1972663565 · Durable Medical Equipment & Medical Supplies · Beachwood, OH
Provider details
- NPI number
- 1972663565
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Robin Ivany, Vice President(330) 545-6700
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24000 Mercantile Rd
Suite 6
Beachwood, OH 44122-5913
Phone: (330) 998-6012
Fax: (330) 998-6616
Street-level locationGet directions
Mailing address
300 N State St
Girard, OH 44420-2538
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.