Pediatric Products, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PEDIATRIC PRODUCTS, LLC

Doing business as

Xpress Nebs

Practice address

1448 10TH Ave
Suite 302
Huntington, WV 25701-3579

Phone

(304) 529-0025

Fax

(513) 891-4654

NPI assigned

Apr 4, 2007

Last updated

Nov 10, 2022By 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

Randy Paulson

Title

Ceo

Phone

(513) 891-4633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Xpress Nebs Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pediatric Products, LLC

  dba Xpress Nebs

  • Durable Medical Equipment & Medical Supplies
  • Cincinnati, OH
  • NPI 1669415394

  O20100930082903

  Same enrollment

Locations

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1881716538",
    "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": "1448 10TH AVE",
            "address_2": "SUITE 302",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013579",
            "telephone_number": "304-529-0025",
            "fax_number": "513-891-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "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"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006183",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xpress Nebs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristopher Peaden, PTA
• Kaylee A Pearson, MSW, LGSW
• Michelle Pearson, BA HEALTH SCIENCE
• Sydney Pearson
• Devan Peck
• Kennedy Pedro
• Cambree J Peek
• Alicia Tiana Pelfrey, BCBA
• Donetta Pelfrey
• Gabriell Pelfrey

• Durable Medical Equipment & Medical Supplies in Huntington, WV
• Providers in Huntington, WV by specialty
• Durable Medical Equipment & Medical Supplies in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.