Medcorp Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

06-C-00579-01 Issued in OH

Legal business name

MEDCORP INC

Practice address

745 Medcorp Dr
Toledo, OH 43608-1376

Phone

(419) 727-7000

Fax

(419) 727-8439

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Richard Bage

Title

President Ceo

Phone

(419) 727-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1841466802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 MEDCORP DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081376",
            "telephone_number": "419-727-7000",
            "fax_number": "419-727-8439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 MEDCORP DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436081376",
            "telephone_number": "419-727-7000",
            "fax_number": "419-727-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "BAGE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "419-727-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "OH",
            "license": "06-C-00579-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0568023",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Venkata Sai Abhilash Meda, M.D.
• Madison Medalle
• Medavi Treatment LLC
• Medcorp EMS South LLC
• Medcorp Inc
• Medcorp Inc.
• Medexpress Transportation, LLC
• Yacine Medhkour, M.D.
• Medical College of Ohio Physicians, LLC (MCO Family Practice Center)
• Medical Management Concepts,LLC

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Toledo, OH
• Providers in Toledo, OH by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.