Village of Oakwood

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

VILLAGE OF OAKWOOD

Practice address

108 Cooper St
Oakwood, OH 45873

Phone

(800) 962-1484

Fax

(513) 772-4464

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs Eakins

Title

EMS Coordinator

Phone

(419) 594-3639

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1184657132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 621005",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452621005",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 COOPER ST",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "45873",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF OAKWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "EAKINS",
        "authorized_official_first_name": "MRS",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "419-594-3639"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0304281",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000156062",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan M Sullivan, DPT
• Katheryn Rose Talcott, MS, RD, CDE, LD
• Heather Tutt-Robinson, LMT
• Tara Sue Vangundy, CFNP
• Jithin Vijayan, MA, LPCC
• Adam Logan Vorlicky
• Jonathon Walton
• Jeffrey J Witwer, LISW-SUPV
• Heather Lynn Woollard
• Basel Yanes, MD

• Ambulance in Oakwood, OH
• Providers in Oakwood, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.