NPIMap

Organization Active NPI

Queen City Med Mart LLC

  • Chore Provider
  • Cincinnati, OH
National Provider Identifier
1215727821
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chore ProviderTaxonomy code 372500000X
Legal business name
QUEEN CITY MED MART LLC
Practice address
10780 Reading Rd
Cincinnati, OH 45241-2531
Phone
(513) 563-4855
Fax
(513) 563-7781
NPI assigned
May 7, 2025
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Paul Fesman
Title
President
Phone
(513) 733-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chore Provider 372500000X NU Primary

Addresses

Primary practice location

10780 Reading Rd
Cincinnati, OH 45241-2531

Mailing address

10780 Reading Rd
Cincinnati, OH 45241-2531
Phone (513) 563-4855

National Provider Directory

National Provider Directory
Tax ID family
Queen City Med Mart Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1215727821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 READING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412531",
            "telephone_number": "513-563-4855",
            "fax_number": "513-563-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 READING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412531",
            "telephone_number": "513-563-4855",
            "fax_number": "513-563-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY MED MART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "FESMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-733-8100"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.