NPIMap

Organization Active NPI

Arizona Med Trans PLLC

  • Land Ambulance
  • Fort Thomas, AZ
National Provider Identifier
1073846101
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ARIZONA MED TRANS PLLC
Practice address
17300 N Diamond Bar Rd
Fort Thomas, AZ 85536-0068
Phone
(928) 322-2105
NPI assigned
Sep 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Mr. Jed Ryan Claridge
Title
Owner/Paramedic
Phone
(928) 322-2105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X AZ Primary

Addresses

Primary practice location

17300 N Diamond Bar Rd
Fort Thomas, AZ 85536-0068

Mailing address

17300 N Diamond Bar Rd
P.O. Box 68
Fort Thomas, AZ 85536-0068
Phone (928) 322-2105

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1073846101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 N DIAMOND BAR RD",
            "address_2": "P.O. BOX 68",
            "city": "FORT THOMAS",
            "state": "AZ",
            "postal_code": "855360068",
            "telephone_number": "928-322-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 N DIAMOND BAR RD",
            "city": "FORT THOMAS",
            "state": "AZ",
            "postal_code": "855360068",
            "telephone_number": "928-322-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA MED TRANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "CLARIDGE",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/PARAMEDIC",
        "authorized_official_telephone_number": "928-322-2105",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Thomas, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.