Anwar Abdalnour

Key facts

NPI

1154968048

Entity type

Individual (NPI type 1)

Primary specialty

Non-emergency Medical Transport (VAN) 343900000X

Practice address

23 Carriage House Dr
Jackson, TN 38305-3934

Phone

(559) 470-9061

NPI assigned

Dec 10, 2019

Sex

Male

Sole proprietor

Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marina Medical Transportation Inc Non-emergency Medical Transport (VAN) · Jackson, TN · NPI 1841838760
  NPD Authorized official NON-EMERGENCY MEDICAL TRANSPORT (VAN)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 10, 2019.

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1154968048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 CARRIAGE HOUSE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053934",
            "telephone_number": "559-470-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CARRIAGE HOUSE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053934",
            "telephone_number": "559-470-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALNOUR",
        "first_name": "ANWAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

• A Parkview Therapy Services
• A Plus Care Solutions Incorporated
• A Plus Transportation LLC
• ABA Therapy Solutions
• Oubah Abdalla, PSY D
• Ali M Abualhayjaa, MD
• Carrie Anne Ackroyd, MSED
• Acne & Rosacea Clinics
• Sonya Acuff
• Kaleb Adams

All providers in Jackson, TN · Non-emergency Medical Transport (VAN) in Tennessee