Medserv Equipment Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDSERV EQUIPMENT CORP

Practice address

156A Lincoln SQ
Urbana, IL 61801-3438

Phone

(217) 355-7971

Fax

(217) 355-8619

NPI assigned

Nov 18, 2015

Last updated

Nov 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

J David Beshoar

Title

President

Phone

(847) 359-4607

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Medserv Equipment Corp

  • Customized Equipment (DME)
  • Palatine, IL
  • NPI 1467458240

  1153441555

  Same PAC ID

Tax ID family

Medserv Equipment Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Medserv Equipment Corp

  • Customized Equipment (DME)
  • Palatine, IL
  • NPI 1467458240
  NPD tax ID

Locations

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1558735274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156A LINCOLN SQ",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013438",
            "telephone_number": "217-355-7971",
            "fax_number": "217-355-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156A LINCOLN SQ",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618013438",
            "telephone_number": "217-355-7971",
            "fax_number": "217-355-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSERV EQUIPMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2021-11-09",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "BESHOAR",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-359-4607"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly McLay
• Jonathan McMinn, MD
• Patricia J McNussen, MD
• Pierce Hamilton Mederios, DDS
• Medgenyx, PLLC
• Rick Meguerditchian
• Sanjay S Mehta, MD
• Vivek Mehta, MD
• Meijer Great Lakes Limited Partnership (Meijer Pharmacy #247)
• Laura Meints, MD, MBA

• Durable Medical Equipment & Medical Supplies in Urbana, IL
• Providers in Urbana, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.