MEDICARE: NORTHCOAST ORTHOPEDIC SALES, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1316231533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHCOAST ORTHOPEDIC SALES, LLC

Provider Business Mailing Address
First Line	:	1737 GEORGETOWN RD STE B
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-5013
Country	:	US
Telephone Number	:	330-650-2022
Fax Number	:	877-496-2071

Provider Business Practice Location Address
First Line	:	1737 GEORGETOWN RD STE B
Second Line	:
City	:	HUDSON
State	:	OH
Zip	:	44236-5013
Country	:	US
Telephone Number	:	330-650-2022
Fax Number	:	877-496-2071

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MAYER GOLDBERGER
Credential	:
Telephone Number	:	330-650-2022

Provider Enumeration Date	:	06/06/2011
Last Update Date	:	02/04/2026

Similar Medicare Providers

1710613930 — KRISTEN MARIE SCHOOLCRAFT CAMPOS APRN, PMHNP
Practice Location Address:

1737 GEORGETOWN RD STE H
HUDSON, OH
44236-5013

Practice Phone: 330-355-9729
Practice Fax: 330-426-0005

1285315259 — RAY RECOVERY OH LLC
Practice Location Address:

1737 GEORGETOWN RD STE HI
HUDSON, OH
44236-5013

Practice Phone: 212-461-4729
Practice Fax:

1962246413 — RAY RECOVERY OH LLC
Practice Location Address:

1737 GEORGETOWN RD
HUDSON, OH
44236-5013

Practice Phone: 330-355-9729
Practice Fax:

1427878602 — AMANDA PERRY
Practice Location Address:

1737 GEORGETOWN RD STE I-H
HUDSON, OH
44236-5013

Practice Phone: 330-355-9729
Practice Fax:

1689490534 — TORRY ROUSE CDCA, CPRS
Practice Location Address:

1737 GEORGETOWN RD. , SUITE H/I
HUDSON, OH
44236-5013

Practice Phone: 330-355-9729
Practice Fax:

1740006469 — MITCHELL D PUGH
Practice Location Address:

1737 GEORGETOWN RD STE H-1
HUDSON, OH
44236-5013

Practice Phone: 330-355-9729
Practice Fax:

Directions to “NORTHCOAST ORTHOPEDIC SALES, LLC ” 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 © 2007-2026 (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.