Express Medical Supply LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

MD424252 Issued in PA

Legal business name

EXPRESS MEDICAL SUPPLY LLC

Practice address

2615 E College Ave
State College, PA 16801

Phone

(814) 308-8155

Fax

(814) 308-8584

NPI assigned

Nov 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mehdi NikparvarfardNPI 1699761353

Title

Owner

Phone

(570) 441-4267

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mehdi Nikparvarfard

  • Internal Medicine Physician
  • Berwick, PA
  • NPI 1699761353
  NPD (past) Authorized official
• Fawzia Haque, MD

  • Family Medicine Physician
  • Broad Top, PA
  • NPI 1578752291
  NPD (past)
• Geronami Paul Kattupalli, MD

  • Family Medicine Physician
  • State College, PA
  • NPI 1992901433
  NPD (past)
• Richard Arthur Hellander, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Camden, NJ
  • NPI 1003846932
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1417233545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 E COLLEGE AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-308-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 E COLLEGE AVE",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-308-8155",
            "fax_number": "814-308-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "NIKPARVARFARD",
        "authorized_official_first_name": "MEHDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-441-4267",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PA",
            "license": "MD424252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010805460001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joann Evans, CRNP
• John C Evans, D.O.
• Timothy Craig Evans, LPC,CAADAC, MAC, NCC
• Evergreen Wellness LLC
• Ashley Nicole Evick, CRNA
• F.Y.Eye, Inc.
• Katherine Anne Fagan
• Dennis Alan Faith, MD
• Family Recovery, LLC
• Elfrieda A Fanelli, CRNA

• Oxygen Equipment & Supplies (DME) in State College, PA
• Providers in State College, PA by specialty
• Oxygen Equipment & Supplies (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.