Ohio Med Life Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

715075 Issued in OH

Legal business name

OHIO MED LIFE TRANSPORT LLC

Practice address

29200 Creighton Rd
Clarksburg, OH 43115-9623

Phone

(740) 600-2256

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Ms. R Leah Burke

Title

Owner Operator

Phone

(740) 600-2256

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1104288091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29200 CREIGHTON RD",
            "city": "CLARKSBURG",
            "state": "OH",
            "postal_code": "431159623",
            "telephone_number": "740-600-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29200 CREIGHTON RD",
            "city": "CLARKSBURG",
            "state": "OH",
            "postal_code": "431159623",
            "telephone_number": "740-600-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO MED LIFE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "740-600-2256",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "715075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "715075",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindy Kay Dunkle-Carter, APPRN
• Tamara Lynn Johnson
• Brittany Nicole Lowe, INDEPENDENT PROVIDER
• Christine Lugenbeel
• Thomas J Lynch III
• Barbara Rosenberger
• Marianna Schappacher, RN
• Lacie Smith
• Bonnie Williams

• Non-emergency Medical Transport (VAN) in Clarksburg, OH
• Providers in Clarksburg, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.