Organization Active NPI

Baldwin Emergency Medical Service

  • Land Ambulance
  • Pittsburgh, PA
National Provider Identifier
1013902964
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05150 Issued in PA
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

Updated by the provider on Nov 16, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000884710003MedicaidPA
103846OtherPAUPMC FOR YOU
112017801OtherPABEST HEALTHCARE
1010752OtherPAGATEWAY
604002200OtherU.S. DEPARTMENT OF LABOR
590005344OtherPALMETTO RR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111213000660 PA Part B Supplier - Ambulance Service Supplier 8628243086 Practice locations: Pittsburgh, PA; West Mifflin, PA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.