Organization Active NPI

Healthcare Express LLC

  • Urgent Care Clinic/Center
  • Randallstown, MD
National Provider Identifier
1295011757
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HEALTHCARE EXPRESS LLC
Practice address
8507 Liberty Rd
Suite L1
Randallstown, MD 21133-4833
Phone
(410) 496-9105
Fax
(410) 496-9109
NPI assigned
Oct 28, 2011
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Edward Obazee, M.D.NPI 1194772905
Title
Director - Co-Owner
Phone
(410) 206-3839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

8507 Liberty Rd
Suite L1
Randallstown, MD 21133-4833

Mailing address

8507 Liberty Rd
Suite L1
Randallstown, MD 21133-4833
Phone (410) 496-9105

Other identifiers 9

IdentifierTypeStateIssuer
10434322OtherMDCAQH
D0034730OtherMDMEDICAL LICENSE
M37304OtherMDSTATE CONTROLLED SUBSTANCE
1194772905OtherMDNPI - PERSONAL
M26728OtherMDSTATE CONTROLLED SUBSTANCE
13861800MedicaidMD
479931300MedicaidMD
1811964133OtherMDNPI PERSONAL
D41430OtherMDLICENSE

National Provider Directory

National Provider Directory

Locations

10100 Forest Hills Rd
#400
Machesney Pk, IL 61115

8507 Liberty Rd
Ste L1
Randallstown, MD 21133
Phone (410) 496-9105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1295011757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 LIBERTY RD",
            "address_2": "SUITE L1",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334833",
            "telephone_number": "410-496-9105",
            "fax_number": "410-496-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 LIBERTY RD",
            "address_2": "SUITE L1",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334833",
            "telephone_number": "410-496-9105",
            "fax_number": "410-496-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE EXPRESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "OBAZEE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR - CO-OWNER",
        "authorized_official_telephone_number": "410-206-3839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10434322",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "D0034730",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROLLED SUBSTANCE",
            "identifier": "M37304",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI - PERSONAL",
            "identifier": "1194772905",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROLLED SUBSTANCE",
            "identifier": "M26728",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13861800",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479931300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PERSONAL",
            "identifier": "1811964133",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "D41430",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.