NPIMap

Organization Active NPI

Royal Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Mequon, WI
National Provider Identifier
1174703540
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
41497600 Issued in WI
Legal business name
ROYAL MEDICAL TRANSPORTATION LLC
Practice address
13760 N Bonniwell CT
Mequon, WI 53097-1509
Phone
(414) 899-9399
Fax
(262) 236-4005
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Dr. Misha Shepshelevich
Title
Owner
Phone
(414) 899-9399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 41497600 WI Primary

Addresses

Primary practice location

13760 N Bonniwell CT
Mequon, WI 53097-1509

Mailing address

13760 N Bonniwell CT
Mequon, WI 53097-1509
Phone (414) 899-9399

Other identifiers 1

IdentifierTypeStateIssuer
41497600MedicaidWI

Other names 1

  • ROYAL MEDICAL TRANSPORTATION Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1174703540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13760 N BONNIWELL CT",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971509",
            "telephone_number": "414-899-9399",
            "fax_number": "262-236-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13760 N BONNIWELL CT",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971509",
            "telephone_number": "414-899-9399",
            "fax_number": "262-236-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "SHEPSHELEVICH",
        "authorized_official_first_name": "MISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-899-9399",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": "41497600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41497600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROYAL MEDICAL TRANSPORTATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.