Organization Active NPI

Med Star Emergency Medical Services and Transport Inc

  • Ambulance
  • Warren, OH
National Provider Identifier
1154328565
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
780042 Issued in OH
Legal business name
MED STAR EMERGENCY MEDICAL SERVICES AND TRANSPORT INC
Practice address
1600 Youngstown Rd SE
Warren, OH 44484-4251
Phone
(330) 369-8084
Fax
(330) 369-8026
NPI assigned
Jun 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Mr. Joseph W. Robinson
Title
Pres. / Owner
Phone
(330) 369-8084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 780042 OH Primary

Addresses

Primary practice location

1600 Youngstown Rd SE
Warren, OH 44484-4251

Mailing address

PO Box 2156
Warren, OH 44484-0156
Phone (330) 369-8084

Other identifiers 2

IdentifierTypeStateIssuer
0542514MedicaidOH
000000155568OtherOHANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050214000068 OH Part B Supplier - Ambulance Service Supplier 6608828116 Practice locations: Warren, OH

National Provider Directory

National Provider Directory

Locations

224 Southern Blvd NW
Warren, OH 44485
Phone (330) 369-8084

1600 Youngstown Rd SE
Warren, OH 44484
Phone (330) 369-8084

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1154328565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2156",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444840156",
            "telephone_number": "330-369-8084",
            "fax_number": "330-369-8026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 YOUNGSTOWN RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844251",
            "telephone_number": "330-369-8084",
            "fax_number": "330-369-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED STAR EMERGENCY MEDICAL SERVICES AND TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRES. / OWNER",
        "authorized_official_telephone_number": "330-369-8084",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "780042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0542514",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155568",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.