Eta Medical Transport LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

ETA MEDICAL TRANSPORT LLC

Practice address

3812 Glenarm Ave
Baltimore, MD 21206-2406

Phone

(410) 908-9955

NPI assigned

Sep 12, 2021

Organization subpart

No

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

Authorized official

Name

Frederick Powell

Title

Owner

Phone

(410) 908-9955

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1631404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631404800000",
    "number": "1114696267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 GLENARM AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212062406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 GLENARM AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212062406",
            "telephone_number": "410-908-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETA MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-12",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-908-9955"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esthers Place
• Destiny Estrada
• Anthony Estreet, LCSW-C
• Michelle Mae Estrella, M.D.
• Hadassa Estrin
• Nicholas David Etchison
• Vahid Etezadi, MD
• Bridgett Etheridge-May
• Andrew Jackson Etheridge IV, CCA, CFO, CFM, CPED
• Carrie H Etheridge, LCSW-C

• Private Vehicle in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Private Vehicle in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; 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.