Aero Med, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS290 Issued in OK

Legal business name

AERO MED, LLC

Practice address

7601 E Apache St HNGR 22
Tulsa, OK 74115-3721

Phone

(520) 579-8171

Fax

(520) 579-3515

NPI assigned

Nov 7, 2011

Organization subpart

No

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

Authorized official

Name

Russ Newman

Title

President

Phone

(520) 579-8171

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1013294982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150003",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741150003",
            "telephone_number": "520-579-8171",
            "fax_number": "520-579-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 E APACHE ST HNGR 22",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741153721",
            "telephone_number": "520-579-8171",
            "fax_number": "520-579-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AERO MED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-579-8171"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OK",
            "license": "EMS290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "533193",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK MEDICARE",
            "identifier": "OKB5987",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICARE",
            "identifier": "Z140448",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100819320A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200298930A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM MEDICARE",
            "identifier": "NMB2466",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Land Ambulance in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.