Storm Engine Co Ambulance Corps

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

STORM ENGINE CO AMBULANCE CORPS

Practice address

151 Olivia St
Derby, CT 06418-1712

Phone

(203) 735-1347

Fax

(203) 735-4873

NPI assigned

Feb 9, 2006

Organization subpart

No

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

Authorized official

Name

Tom Lenhart

Title

President

Phone

(203) 735-1347

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1104899384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MAIN ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162302",
            "telephone_number": "860-638-1800",
            "fax_number": "860-638-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 OLIVIA ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181712",
            "telephone_number": "203-735-1347",
            "fax_number": "203-735-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORM ENGINE CO AMBULANCE CORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "LENHART",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-735-1347"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004225290",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C037A2CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spectrum Healthcare Derby, LLC
• Biannca Squires, LPC
• Elizabeth Anne Starnes, APRN
• Peter J Stein, O.D.
• Celeste Stewart
• Nicholas Stroumbakis, PA-C
• Deepak Jung Subedi, M.D.
• Sirjana Subedi, M.D.
• Thanathip Suenghataiphorn, M.D.
• Debra Sullivan, PA

• Land Ambulance in Derby, CT
• Providers in Derby, CT by specialty
• Land Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.