Active NPI
Edward S Williams, NREMT-P
- Paramedic
- Ellerslie, MD
National Provider Identifier
1013935485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 0115863
- Practice address
- 14200 Ellerslie Road
Ellerslie, MD 21529-0237 - Phone
- (301) 777-0959
- NPI assigned
- Jul 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 0115863 | MD | Primary |
Addresses
Primary practice location
14200 Ellerslie Road
Ellerslie, MD 21529-0237
Mailing address
PO Box 142
Ellerslie, MD 21529-0142
Phone (301) 722-2074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0115863 | MD | MD | Paramedic |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellerslie Volunteer Ambulance Service Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Land Ambulance
- Ellerslie, MD
- NPI 1811926405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013935485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 142",
"city": "ELLERSLIE",
"state": "MD",
"postal_code": "215290142",
"telephone_number": "301-722-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14200 ELLERSLIE ROAD",
"city": "ELLERSLIE",
"state": "MD",
"postal_code": "215290237",
"telephone_number": "301-777-0959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "EDWARD",
"middle_name": "S",
"credential": "NREMT-P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "MD",
"license": "0115863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellerslie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.