Medtran Express

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MEDTRAN EXPRESS

Practice address

115 Excecutive Park
Lake City, SC 29560

Phone

(757) 615-9012

NPI assigned

Dec 14, 2009

Last updated

Mar 14, 2013By 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

Ms. Shafara DozierNPI 1982851317

Title

Owner

Phone

(757) 615-9012

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shafara Dozier, PA-C

  • Medical Physician Assistant
  • Lake City, SC
  • NPI 1982851317
  NPD Authorized official

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1013246461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 MCCLAM RD",
            "city": "CADES",
            "state": "SC",
            "postal_code": "295183302",
            "telephone_number": "757-615-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EXCECUTIVE PARK",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "29560",
            "telephone_number": "757-615-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTRAN EXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "DOZIER",
        "authorized_official_first_name": "SHAFARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-615-9012",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical University Hospital Authority (MUSC Health Primary Care - Ron McNair Blvd)
• Medical University Hospital Authority (MUSC Health Express Care Lake City)
• Medical University Hospital Authority (MUSC Health Primary Care Lake City)
• Medicine Cabinet Clinical Services LLC (The Medicine Cabinet Clinical Services)
• Medicine Cabinet of Lake City (The Medicine Cabinet)
• Mid-Carolina Hospital Group, LLC (Lake City Community Hospital)
• Eliza M Miles, LPN
• Albert D Mims, M.D.
• Mindful Behavioral Inc
• Maud N Mmbo-Keith, OTR/L

• Land Ambulance in Lake City, SC
• Providers in Lake City, SC by specialty
• Land Ambulance in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.