Active NPI
PDQ Medical Transit LLC
- Non-emergency Medical Transport (VAN)
- Medford, WI
National Provider Identifier
1154560159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- PDQ MEDICAL TRANSIT LLC
- Practice address
- 880 S Gibson St
Medford, WI 54451-1681 - Phone
- (715) 748-2262
- Fax
- (715) 748-2262
- NPI assigned
- Feb 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul William Pernsteiner
- Title
- Ceo
- Phone
- (715) 748-2262
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | WI | Primary |
Addresses
Primary practice location
880 S Gibson St
Medford, WI 54451-1681
Mailing address
880 S Gibson St
Medford, WI 54451-1681
Phone (715) 748-2262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100001725 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
880 S Gibson St
Medford, WI 54451
Phone (715) 748-2262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234483200000",
"number": "1154560159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 S GIBSON ST",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544511681",
"telephone_number": "715-748-2262",
"fax_number": "715-748-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 S GIBSON ST",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544511681",
"telephone_number": "715-748-2262",
"fax_number": "715-748-2262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PDQ MEDICAL TRANSIT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-13",
"last_updated": "2009-02-13",
"status": "A",
"authorized_official_last_name": "PERNSTEINER",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "715-748-2262",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100001725",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.