Queen City Med Mart LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

QUEEN CITY MED MART LLC

Practice address

5045 Crookshank Rd
Cincinnati, OH 45238-3301

Phone

(513) 347-9700

NPI assigned

Apr 22, 2014

Last updated

Dec 20, 2017By 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

Mr. David P Fesman

Title

President

Phone

(513) 733-8100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1710307319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 READING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412531",
            "telephone_number": "513-733-8100",
            "fax_number": "513-733-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 CROOKSHANK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383301",
            "telephone_number": "513-347-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY MED MART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "FESMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-733-8100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queen City Health LLC
• Queen City Home Care Solutions LLC
• Queen City Homecare, LLC (Trinity In Home Care)
• Queen City Inquiry
• Queen City Med Mart LLC
• Queen City Med Mart LLC
• Queen City Medical Center Inc
• Queen City Medical Transport
• Queen City Pediatric Dentistry
• Queen City Pelvic Health and Wellness, LLC

• Durable Medical Equipment & Medical Supplies in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.