Express Air Medical Transport, LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

622 Issued in FL

Legal business name

EXPRESS AIR MEDICAL TRANSPORT, LLC

Practice address

200 2ND Ave S
506
St Petersburg, FL 33701-4313

Phone

(800) 304-8094

Fax

(866) 596-4830

NPI assigned

Dec 29, 2016

Organization subpart

No

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

Authorized official

Name

Kenneth FoxNPI 1487095469

Title

Ceo

Phone

(800) 304-8094

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Fox

  • Driver
  • Champlin, MN
  • NPI 1487095469
  NPD Authorized official

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1114462108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 2ND AVE S",
            "address_2": "506",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014313",
            "telephone_number": "800-304-8094",
            "fax_number": "866-596-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 2ND AVE S",
            "address_2": "506",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014313",
            "telephone_number": "800-304-8094",
            "fax_number": "866-596-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS AIR MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-304-8094"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "FL",
            "license": "622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009139100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Berny Excellent, M.D.
• Excellerated Facilitation Technologies
• Excellerated Teaching Academy
• Excellerated Teaching Center
• Exceptional Dental of Saint Petersburg
• Express Aviation Services, Inc.
• Express Psych Care Inc
• Express Wheelchair Transport, LLC
• Exquisite Care LLC
• Dustin Exum II, BSN, RN, CCRN

• Air Ambulance in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Air Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.