Organization Active NPI

Emergency Medical Transport Inc

  • Land Ambulance
  • North Canton, OH
National Provider Identifier
1104872142
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
EMERGENCY MEDICAL TRANSPORT INC
Practice address
7100 Whipple Ave NW Ste a
North Canton, OH 44720-7167
Phone
(330) 478-4111
Fax
(330) 232-9917
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Mr. Kenneth J Joseph, EMT-P
Title
Chief Paramedic
Phone
(330) 484-8894

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 021103550 OH
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

7100 Whipple Ave NW Ste a
North Canton, OH 44720-7167

Mailing address

7100 Whipple Ave NW Ste a
North Canton, OH 44720-7167
Phone (330) 484-8894

Other identifiers 7

IdentifierTypeStateIssuer
8001026000MedicaidWV
2000051MedicaidOH
000000155881OtherOHBCBS
00023436OtherOHMT.STATE
3481838901OtherOHBWC
590010656OtherOHRR MEDICARE
800024OtherOHBLACKLUNG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060213000407 OH Part B Supplier - Ambulance Service Supplier 2769497767 Practice locations: Youngstown, OH; Warren, OH; Sebring, OH; Salem, OH; Massillon, OH; Carrollton, OH; Malvern, OH; Alliance, OH…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1005693Emergency Medical Transport, Inc7100 Whipple Ave NW, North Canton, OH 44720Certificate of waiverOct 28, 2026

National Provider Directory

National Provider Directory

Locations

2000 McCrea St
Alliance, OH 44601

3257 Hamilton St
Bellaire, OH 43906

101 Maple Ave
Bethesda, OH 43719

628 E Market St
Cadiz, OH 43907

2226 Navarre Rd SW
Canton, OH 44706

1423 Canton Rd NW
Carrollton, OH 44615
Phone (330) 484-0111

24 N Nelson Ave
Lisbon, OH 44432

4029 Coral Rd NW
Malvern, OH 44644

102 Avondale St
Martins Ferry, OH 43935

7100 Whipple Ave NW
Ste A
North Canton, OH 44720

383 N Lincoln Ave
Salem, OH 44460
Phone (330) 337-0401

1519 S Lincoln Ave
Salem, OH 44460
Phone (343) 484-0111

1122 E Midlothian Blvd
Youngstown, OH 44502
Phone (330) 740-1953

1215 Belmont Ave
Youngstown, OH 44504
Phone (216) 454-4911

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1104872142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 WHIPPLE AVE NW STE A",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207167",
            "telephone_number": "330-484-8894",
            "fax_number": "330-484-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 WHIPPLE AVE NW STE A",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207167",
            "telephone_number": "330-478-4111",
            "fax_number": "330-232-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MEDICAL TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF PARAMEDIC",
        "authorized_official_telephone_number": "330-484-8894",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "OH",
            "license": "021103550",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8001026000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000051",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000155881",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT.STATE",
            "identifier": "00023436",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "3481838901",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590010656",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACKLUNG",
            "identifier": "800024",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.