MVP Transportation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MVP TRANSPORTATION

Practice address

1229 N 17TH Street
Number 23
Belleville, IL 62226

Phone

(618) 623-4422

Fax

(888) 672-2818

NPI assigned

Dec 4, 2015

Last updated

Dec 4, 2015By 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

Ms. Kesu Brown

Title

Vice President

Phone

(618) 623-4422

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1760857585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 N 17TH STREET",
            "address_2": "NUMBER 23",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-623-4422",
            "fax_number": "888-672-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 N 17TH STREET",
            "address_2": "NUMBER 23",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "62226",
            "telephone_number": "618-623-4422",
            "fax_number": "888-672-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVP TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KESU",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "618-623-4422",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "343900000X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Mussemann, M.D.
• Saim Mustafa, DO
• Martin Musumbi, M.D.
• Usha Rani Muthyala, M.D.
• Lyndsie Muyleart, NP
• Cassandra Myers, CRNA
• Brett Allen Nance, D.O.
• Sarah E Nangle, D.O.
• Saad Naseer, MD
• Susan Marie Naumann, PTA, LMT, ASTYM CERT

• Durable Medical Equipment & Medical Supplies in Belleville, IL
• Providers in Belleville, 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 Dec 4, 2015; 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.