Superior Ambulance Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

02238 Issued in PA

Legal business name

SUPERIOR AMBULANCE SERVICE, INC.

Practice address

921 East Main Street Ext.
Grove City, PA 16127-0247

Phone

(724) 458-5350

Fax

(724) 458-6302

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Douglas L. Dick

Title

Director

Phone

(724) 458-6301

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1144393448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161270247",
            "telephone_number": "724-458-5350",
            "fax_number": "724-458-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 EAST MAIN STREET EXT.",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161270247",
            "telephone_number": "724-458-5350",
            "fax_number": "724-458-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "DICK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "724-458-6301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "02238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016173000002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Jean Stahl, CRNP
• Dawn Yvonne Stein, DPM
• Katie J Stemmerich, PA-C
• George A. Strunk Jr., CRNA
• Nikita Sumzin, MD
• Eugenio A. Sybing, M.D.
• Olakunle O Taiwo, M.D.
• Michael Tarr, PT
• Heather Taylor
• Margaret Thieman, M.D.

• Land Ambulance in Grove City, PA
• Providers in Grove City, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.