STATE MEDICAL SUPPLY PROVIDER, INC
NPI 1720290281
Durable Medical Equipment & Medical Supplies in Saint Louis, MO

Active since May 04, 2007
9109 LACKLAND RD, SAINT LOUIS, MO 63114(314) 426-5903(314) 890-2110 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About State Medical Supply Provider, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE MEDICAL SUPPLY PROVIDER, INC (NPI 1720290281) is a healthcare organization registered as a durable medical equipment & medical supplies in Saint Louis, Missouri and active in the NPI registry since May 2007. The organization lists David Senderovich, Pesident, as its authorized official.

NPPES Registry Identity

NPI1720290281
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSTATE MEDICAL SUPPLY PROVIDER, INC
Location Address9109 LACKLAND RDSaint Louis, MO 63114-5410
Mailing Address9109 Lackland RdSaint Louis, MO 63114-5410 · (314) 426-5903 · Fax (314) 890-2110
Fax(314) 890-2110
Organization SubpartNo
Authorized OfficialDavid SenderovichPesident · (314) 426-5903
Enumeration DateMay 4, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1720290281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in MO · 17769558
Definition

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.

9109 LACKLAND RD, Saint Louis, MO 63114

Accepted Insurance

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20614151
Accepts Medicare Assignment
YES
Specialities List
Medical Supply Company Other.
Competitive Bidding
NO

Supplies List

  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
  • Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
  • Hospital Beds (Manual) - Fixed height hospital beds, Variable height hospital beds
  • Osteogenesis Stimulators - Non-spinal electrical osteogenesis stimulators, Spinal electrical osteogenesis stimulators, Ultrasonic osteogenesis stimulators
  • Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
  • (TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies - Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Patient Lifts - Ceiling lifts, Slings
  • Power Operated Vehicles (Scooters) - Scooters
  • Seat Lift Mechanisms - Lift chair
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Manual Related Accessories) - Accessories for standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchairs (Standard Power) - Standard power wheelchairs, Heavy duty standard power wheelchairs
  • Wheelchairs (Standard Power Related Accessories) - Accessories for standard power wheelchairs, heavy duty standard power wheelchairs
  • Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Penile Pumps -
  • Neurostimulators and/or Supplies - Rechargable neurostimulators, Non-rechargable neurostimulators
  • Urological Supplies - Catheters, Urinary collection devices
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720290281, enumerated as an "organization" on May 04, 2007.

The provider is located at 9109 LACKLAND RD SAINT LOUIS, MO 63114 and the phone number is (314) 426-5903.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.