NPIMap

Organization Active NPI

Pediatric Products, LLC

Doing business as Express Nebs

  • Durable Medical Equipment & Medical Supplies
  • Fishers, IN
National Provider Identifier
1518088871
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PEDIATRIC PRODUCTS, LLC
Doing business as
Express Nebs
Practice address
11650 Lantern Rd.
Suite 218
Fishers, IN 46038-3102
Phone
(888) 721-6893
Fax
(513) 891-4654
NPI assigned
Apr 3, 2007
Last updated
May 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Mr. Randy Paulson
Title
Ceo
Phone
(513) 891-4633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

11650 Lantern Rd.
Suite 218
Fishers, IN 46038-3102

Mailing address

10679 McSwain Drive
Cincinnati, OH 45241-3168
Phone (513) 891-4633

Other identifiers 2

IdentifierTypeStateIssuer
200503130AMedicaidIN
200503130MedicaidIN

Other names 1

  • Express Nebs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Products LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

11650 Lantern Rd
Ste 218
Fishers, IN 46038
Phone (888) 721-6893

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1518088871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10679 MCSWAIN DRIVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452413168",
            "telephone_number": "513-891-4633",
            "fax_number": "513-891-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 LANTERN RD.",
            "address_2": "SUITE 218",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460383102",
            "telephone_number": "888-721-6893",
            "fax_number": "513-891-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-891-4633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200503130A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200503130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Express Nebs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.