Omar Saucedo, EMT/HEALTHCARE SPC

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

B1648501 Issued in TX

Practice address

Lyster Army Health Clinic
BLDG 301 Andrews Ave
Fort Rucker, AL 36362

Phone

(334) 255-7894

Fax

(334) 255-7490

NPI assigned

Apr 1, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1003088931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LYSTER ARMY HEALTH CLINIC",
            "address_2": "BLDG 301 ANDREWS AVE",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LYSTER ARMY HEALTH CLINIC",
            "address_2": "BLDG 301 ANDREWS AVE",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7894",
            "fax_number": "334-255-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCEDO",
        "first_name": "OMAR",
        "credential": "EMT/HEALTHCARE SPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "TX",
            "license": "B1648501",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amos Samuel Salas, NREMT-BASIC
• Willie Earl Sallis, PA
• Scott A Salmon, MD, MPH
• Tiffany Monique Samuels, EMT-B/ HEALTHCARE SP
• Dorma Sanders, RN
• Mason Webb Sauerwein
• Maria Esther Schaffino
• Donald L Schuman, LCSW, LCDC
• Donna L Schuman, LCSW
• Damian A Schwab, NREMT

• Basic Emergency Medical Technician in Fort Rucker, AL
• Providers in Fort Rucker, AL by specialty
• Basic Emergency Medical Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.