MEDICARE: EAST SUBURBAN MEDICAL SUPPLY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BX2000X	Oxygen Equipment & Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265450605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST SUBURBAN MEDICAL SUPPLY INC

Provider Business Mailing Address
First Line	:	400 RODI RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-4519
Country	:	US
Telephone Number	:	412-371-0661
Fax Number	:	412-242-4489

Provider Business Practice Location Address
First Line	:	400 RODI RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-4519
Country	:	US
Telephone Number	:	412-371-0661
Fax Number	:	412-242-4489

Authorized Official
Title or Position	:	VP OF OPERATIONS
Name	:	MR. MARY KAY FEHL
Credential	:
Telephone Number	:	717-657-2100

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	05/03/2012

Similar Medicare Providers

1518097682 — HOMETOWN OXYGEN PITTSBURGH LLC
Practice Location Address:

400 RODI RD
PITTSBURGH, PA
15235-4519

Practice Phone: 412-371-0661
Practice Fax: 412-242-4489

1356490999 — DR. JOSEPH ANDREW BALOBECK D.C.
Practice Location Address:

400 RODI RD # 3
PITTSBURGH, PA
15235-4519

Practice Phone: 412-241-4530
Practice Fax: 412-241-4535

1194997577 — MAROTTA CHIROPRACTIC & MASSAGE CLINIC
Practice Location Address:

400 RODI RD
PITTSBURGH, PA
15235-4519

Practice Phone: 412-241-4530
Practice Fax: 412-241-4535

1811381171 — HOMETOWN OXYGEN PITTSBURGH L.L.C.
Practice Location Address:

400 RODI RD
PITTSBURGH, PA
15235-4519

Practice Phone: 412-371-0661
Practice Fax: 412-242-4489

1528046570 — MADHUSUDAN MENON MD
Practice Location Address:

810 CLAIRTON BLVD STE 400
PITTSBURGH, PA
15236-4519

Practice Phone: 412-650-1150
Practice Fax: 412-650-1151

1871559765 — MR. FRANK F AULICINO OD
Practice Location Address:

810 CLAIRTON BLVD , SUITE 200
PITTSBURGH, PA
15236-4519

Practice Phone: 412-653-3000
Practice Fax: 412-653-1007

Directions to “EAST SUBURBAN MEDICAL SUPPLY INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.