Active NPI
Baldwin Emergency Medical Service
- Land Ambulance
- Pittsburgh, PA
National Provider Identifier
1013902964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 05150
- Legal business name
- BALDWIN EMERGENCY MEDICAL SERVICE
- Practice address
- 1 Readshaw Way
Pittsburgh, PA 15236-2769 - Phone
- (412) 884-0666
- Fax
- (412) 884-5717
- NPI assigned
- Sep 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan Elaine Wiedenheft, P-EMT
- Title
- Treasurer/Office Manager
- Phone
- (412) 884-0666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 05150 | PA | Primary |
Addresses
Primary practice location
1 Readshaw Way
Pittsburgh, PA 15236-2769
Mailing address
1 Readshaw Way
Pittsburgh, PA 15236-2769
Phone (412) 884-0666
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000884710003 | Medicaid | PA | |
| 103846 | Other | PA | UPMC FOR YOU |
| 112017801 | Other | PA | BEST HEALTHCARE |
| 1010752 | Other | PA | GATEWAY |
| 604002200 | Other | U.S. DEPARTMENT OF LABOR | |
| 590005344 | Other | PALMETTO RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111213000660 | PA | Part B Supplier - Ambulance Service Supplier | 8628243086 | Practice locations: Pittsburgh, PA; West Mifflin, PA |
National Provider Directory
National Provider DirectoryLocations
1 Readshaw Way
Pittsburgh, PA 15236
Phone (412) 884-0666
1020 Lebanon Rd
West Mifflin, PA 15122
Phone 4124668170113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321401600000",
"number": "1013902964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 READSHAW WAY",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152362769",
"telephone_number": "412-884-0666",
"fax_number": "412-884-5717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 READSHAW WAY",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152362769",
"telephone_number": "412-884-0666",
"fax_number": "412-884-5717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALDWIN EMERGENCY MEDICAL SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-16",
"last_updated": "2011-11-16",
"status": "A",
"authorized_official_last_name": "WIEDENHEFT",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "TREASURER/OFFICE MANAGER",
"authorized_official_telephone_number": "412-884-0666",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "P-EMT"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "PA",
"license": "05150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000884710003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC FOR YOU",
"identifier": "103846",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEST HEALTHCARE",
"identifier": "112017801",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1010752",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U.S. DEPARTMENT OF LABOR",
"identifier": "604002200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RR MEDICARE",
"identifier": "590005344",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.