Active NPI
K&P Medical Transport LTD.
- Land Ambulance
- Defiance, OH
National Provider Identifier
1104369206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- K&P MEDICAL TRANSPORT LTD.
- Practice address
- 25288 Elliott Rd
Defiance, OH 43512-9003 - Phone
- (419) 785-3246
- Fax
- (419) 782-6478
- NPI assigned
- Nov 22, 2016
- 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. Adam Robert Wagner
- Title
- Vice President
- Phone
- (419) 785-3246
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary | ||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
25288 Elliott Rd
Defiance, OH 43512-9003
Mailing address
25288 Elliott Rd
Defiance, OH 43512-9003
Phone (419) 785-3246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0385682 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
24862 Elliott Rd
Defiance, OH 43512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729555200000",
"number": "1104369206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25288 ELLIOTT RD",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435129003",
"telephone_number": "419-785-3246",
"fax_number": "419-782-6478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25288 ELLIOTT RD",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435129003",
"telephone_number": "419-785-3246",
"fax_number": "419-782-6478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "K&P MEDICAL TRANSPORT LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-22",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "419-785-3246",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0385682",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Defiance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.