PEDIATRIC PRODUCTS, LLC (NPI# 1053546804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053546804 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PRODUCTS, LLC |
| Other Organization Name | XPRESS NEBS |
| Practice Address |
1016 Mount Vernon Drive Suite 1 Shelbyville KY 40065-7828 |
| Mailing Address |
10679 Mcswain Drive Cincinnati OH 45241-3168 |
| Practice Telephone | 5026332006 |
| Practice Fax Number | 5138914654 |
| Mailing Telephone | 5138914633 |
| Mailing Fax Number | 5138914654 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2010-06-03 |
| Authorized Official Name | RANDY PAULSON (CEO) |
| Authorized Official Telephone | 5138914633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 90012857 | 05 |
| Other Name | Type Code |
|---|---|
| Xpress Nebs | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578880167 | Pediatric Products, LLC | Durable Medical Equipment & Medical Supplies | 225 N Memorial Dr, Suite #8, Prattville, AL 36067-3344 | 2010-04-23 |
| 1912133026 | Pediatric Products, LLC | Durable Medical Equipment & Medical Supplies | 201 Natural Resources Drive, Little Rock, AR 72205-1575 | 2009-06-03 |
| 1518088871 | Pediatric Products, LLC | Durable Medical Equipment & Medical Supplies | 11650 Lantern Rd., Suite 218, Fishers, IN 46038-3102 | 2007-04-03 |
| 1669415394 | Pediatric Products, LLC | Durable Medical Equipment & Medical Supplies | 2975 Exon Ave, Cincinnati, OH 45241-2520 | 2006-06-13 |
| 1699900548 | Pediatric Products, LLC | Durable Medical Equipment & Medical Supplies | 3209 W Smith Valley Rd, #217-4, Greenwood, IN 46142-8510 | 2009-05-21 |
| 1528293479 | Pediatric Products, LLC | Durable Medical Equipment & Medical Supplies | 3209 W Smith Valley Rd, Suite #208, Greenwood, IN 46142-8495 | 2009-05-21 |
| 1972625622 | Pediatric Products, LLC | Durable Medical Equipment & Medical Supplies | 533 Main St, Suite 1, Shelbyville, KY 40065-1119 | 2007-04-04 |
| 1881716538 | Pediatric Products, LLC | Durable Medical Equipment & Medical Supplies | 1448 10th Ave, Suite 302, Huntington, WV 25701-3579 | 2007-04-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | PEDIATRIC PRODUCTS, LLC | 10679 Mc Swain Dr, Cincinnati, OH 45241 |
| Street Address |
1016 MOUNT VERNON DRIVE SUITE 1 |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-7828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699218420 | Rr Integrity Services, LLC | Durable Medical Equipment & Medical Supplies | 646 County Road 2813, Shelbyville, TX 75973-4012 | 2016-11-28 |
| 1417382029 | Ap Shelbyville, Inc | Durable Medical Equipment & Medical Supplies | 1545 Midland Trl, Shelbyville, KY 40065-1634 | 2013-09-13 |
| 1134475619 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2169 Midland Trl, Shelbyville, KY 40065-9163 | 2012-08-02 |
| 1215262670 | Guardian Pharmacy of Tn One | Durable Medical Equipment & Medical Supplies | 661 E Lane St, Shelbyville, TN 37160-3437 | 2009-10-02 |
| 1164601399 | Shelbyville Clinic Corp | Durable Medical Equipment & Medical Supplies | 2839 Highway 231 North, Suite 100, Shelbyville, TN 37160-7448 | 2007-10-24 |
| 1073705554 | Linda Gail Harwell | Durable Medical Equipment & Medical Supplies | 503 Madison St, Shelbyville, TN 37160-4909 | 2007-08-17 |
| 1710042833 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2607 W Main St, Shelbyville, IL 62565 | 2006-12-27 |
| 1184797607 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1601 E Michigan Rd, Shelbyville, IN 46176-4058 | 2006-11-15 |
| 1770663817 | Hill-rom Company Inc | Durable Medical Equipment & Medical Supplies | 857 Kentucky St, Suite B, Shelbyville, KY 40065-9257 | 2006-10-16 |
| 1407943343 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1010 E State Road 44, Shelbyville, IN 46176-1770 | 2006-10-10 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
Please comment or provide details below to improve the information on PEDIATRIC PRODUCTS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.