Midwest Medical Transportation, LLC.

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

MIDWEST MEDICAL TRANSPORTATION, LLC.

Practice address

995 N. Pontiac Trail
Walled Lake, MI 48390-3323

Phone

(248) 278-2477

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Miss Jeanine Rashonda Jackson

Title

Owner/Operator

Phone

(248) 278-2477

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1013799782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 N. PONTIAC TRAIL",
            "address_2": "P.O. BOX # 57",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903323",
            "telephone_number": "248-278-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 N. PONTIAC TRAIL",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903323",
            "telephone_number": "248-278-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST MEDICAL TRANSPORTATION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "RASHONDA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "248-278-2477",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Metcalf, OTR/L
• Erin Taylor Metz, M.S., CCC-SLP
• Michael P McNutt D.D.S., P.C.
• Julie Marie Micheli, PA C
• Michigan Institute of Advanced Dentistry P C
• Blake Charles Mikesell, DDS
• Christie Y Miller, FNP
• Tyrone S Miller, O.D.
• Ronald Mishko II, D.D.S.
• Mohammad Navai

• Private Vehicle in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Private Vehicle in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.