Organization Active NPI

Medport, Inc

  • Non-emergency Medical Transport (VAN)
  • Cleveland, OH
National Provider Identifier
1083823025
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2243530MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Medport Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.