Organization Active NPI

Medstat of Ohio, Corp.

  • Land Ambulance
  • Whitehall, OH
National Provider Identifier
1063551539
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MEDSTAT OF OHIO, CORP.
Practice address
113 N Hamilton Rd
Whitehall, OH 43213-1308
Phone
(614) 322-9075
Fax
(614) 322-9064
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lisa Pope
Title
Vice-President
Phone
(614) 322-9075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

113 N Hamilton Rd
Whitehall, OH 43213-1308

Mailing address

113 N Hamilton Rd
Whitehall, OH 43213-1308
Phone (614) 322-9075

Other identifiers 1

IdentifierTypeStateIssuer
2581684MedicaidOH

National Provider Directory

National Provider Directory

Locations

113 N Hamilton Rd
Whitehall, OH 43213
Phone (614) 322-9075

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063551539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N HAMILTON RD",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432131308",
            "telephone_number": "614-322-9075",
            "fax_number": "614-322-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N HAMILTON RD",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432131308",
            "telephone_number": "614-322-9075",
            "fax_number": "614-322-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAT OF OHIO, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "614-322-9075"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2581684",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.