Active NPI
Medport, Inc
- Non-emergency Medical Transport (VAN)
- Cleveland, OH
National Provider Identifier
1083823025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- MEDPORT, INC
- Practice address
- 9400 Midwest Ave
Cleveland, OH 44125-2420 - Phone
- (216) 587-9715
- Fax
- (216) 662-0052
- NPI assigned
- May 22, 2007
- Last updated
- Apr 1, 2008
- 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
- Mr. Jay Reinholz
- Title
- President
- Phone
- (216) 587-9715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NU | Primary |
Addresses
Primary practice location
9400 Midwest Ave
Cleveland, OH 44125-2420
Mailing address
PO Box 25277
Cleveland, OH 44125-0277
Phone (216) 587-9715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2243530 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Medport Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Garfield HTS, OH
- NPI 1457524340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207008000000",
"number": "1083823025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25277",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441250277",
"telephone_number": "216-587-9715",
"fax_number": "216-662-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9400 MIDWEST AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441252420",
"telephone_number": "216-587-9715",
"fax_number": "216-662-0052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDPORT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2008-04-01",
"status": "A",
"authorized_official_last_name": "REINHOLZ",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "216-587-9715",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2243530",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.