Active NPI
Healthcare Express LLC
- Urgent Care Clinic/Center
- Randallstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Obazee, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10434322 | Other | MD | CAQH |
| D0034730 | Other | MD | MEDICAL LICENSE |
| M37304 | Other | MD | STATE CONTROLLED SUBSTANCE |
| 1194772905 | Other | MD | NPI - PERSONAL |
| M26728 | Other | MD | STATE CONTROLLED SUBSTANCE |
| 13861800 | Medicaid | MD | |
| 479931300 | Medicaid | MD | |
| 1811964133 | Other | MD | NPI PERSONAL |
| D41430 | Other | MD | LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Baltimore, MD
- NPI 1194772905
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.