Queen City Med Mart LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

QUEEN CITY MED MART LLC

Practice address

10780 Reading Rd
Cincinnati, OH 45241-2531

Phone

(513) 733-8100

Fax

(513) 733-8449

NPI assigned

Jul 3, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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).

• Queen City Med Mart LLC

  • Durable Medical Equipment & Medical Supplies
  • Kettering, OH
  • NPI 1891725115

  9234258229

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Queen City Med Mart Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Queen City Med Mart Inc

  • Durable Medical Equipment & Medical Supplies
  • Clayton, OH
  • NPI 1568492809
  NPD tax ID
• Queen City Med Mart LLC

  • Chore Provider
  • Cincinnati, OH
  • NPI 1215727821
  NPD tax ID
• Queen City Med Mart LLC

  • Durable Medical Equipment & Medical Supplies
  • Kettering, OH
  • NPI 1891725115
  NPD tax ID

Locations

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1891725263",
    "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": "10780 READING RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412531",
            "telephone_number": "513-733-8100",
            "fax_number": "513-733-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY MED MART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125877",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90272154",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Queen City Home Care Solutions LLC
• Queen City Homecare, LLC
• 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
• Queen City Seniors Inc

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.