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

201 Natural Resources Drive
Little Rock, AR 72205-1575

Phone

(888) 721-6893

Fax

(513) 891-4654

NPI assigned

Jun 3, 2009

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 AR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Pediatric Products, LLC

  dba Xpress Nebs

  • Durable Medical Equipment & Medical Supplies
  • Shelbyville, KY
  • NPI 1053546804

  3274744487

  Same PAC ID
• Pediatric Products, LLC

  dba Xpress Nebs

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

  3274744487

  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

Pediatric Products LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Pediatric Products, LLC

  dba Express Nebs

  • Durable Medical Equipment & Medical Supplies
  • Fishers, IN
  • NPI 1518088871
  NPD tax ID
• Pediatric Products, LLC

  dba Xpress Nebs

  • Durable Medical Equipment & Medical Supplies
  • Greenwood, IN
  • NPI 1528293479
  NPD tax ID
• Pediatric Products, LLC

  dba Xpress Nebs

  • Durable Medical Equipment & Medical Supplies
  • Cincinnati, OH
  • NPI 1669415394
  NPD tax ID
• Pediatric Products, LLC

  dba Xpress Nebs

  • Durable Medical Equipment & Medical Supplies
  • Shelbyville, KY
  • NPI 1972625622
  NPD tax ID

Locations

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1912133026",
    "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": "201 NATURAL RESOURCES DRIVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051575",
            "telephone_number": "888-721-6893",
            "fax_number": "513-891-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179431716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xpress Nebs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rita Peaster
• Haley Peavler, DO
• Kaitlin Peckham, MS, PHARMD
• Pediatric Arrhythmia Services PLLC
• Pediatric Physicians Group, PLLC
• Pediatric Therapy 4 Kids
• Pediatric Therapy Services of Little Rock
• Pediatrics Plus Counseling & Diagnostics LLC (Rise Counseling and Diagnostics)
• Pediatrix Medical Group of Arkansas PA (Pediatrix Medical Group of Nebraska)
• Brenda D Pedro

• Durable Medical Equipment & Medical Supplies in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• 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.
• 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.