MDM Transport LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

MDM TRANSPORT LLC

Practice address

16065 E Arkansas Dr
Aurora, CO 80017-4051

Phone

(720) 278-8276

NPI assigned

Jul 27, 2023

Organization subpart

No

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

Authorized official

Name

Mekdim Mengistu

Title

Owner/Manager

Phone

(720) 278-8276

Specialties & licenses 4

Addresses

Other names 1

• MDM TRANSPORT Doing business as

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1285315614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16065 E ARKANSAS DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174051",
            "telephone_number": "720-278-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16065 E ARKANSAS DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174051",
            "telephone_number": "720-278-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDM TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "MENGISTU",
        "authorized_official_first_name": "MEKDIM",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "720-278-8276"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDM TRANSPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Leigh McVicar, MD
• Ian Michael McVinney, PHARMD
• Elizabeth McWilliams, PA-C
• Mai Q McWilliams, PHARMD
• MD Ally Services PA
• Me Physical Therapy
• Me Physical Therapy LLC
• Randall Meacham, MD
• Devin M Meade
• Meadow Hills Dental

• Private Vehicle in Aurora, CO
• Providers in Aurora, CO by specialty
• Private Vehicle in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.