Delta Medical Transportation

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Legal business name

DELTA MEDICAL TRANSPORTATION

Practice address

8220 25TH CT
Kenosha, WI 53143-6277

Phone

(703) 953-7445

NPI assigned

Dec 26, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Ismail Ahmed Ismail

Title

Owner

Phone

(703) 953-7445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1194594671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8220 25TH CT",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436277",
            "telephone_number": "703-953-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8220 25TH CT",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531436277",
            "telephone_number": "703-953-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "ISMAIL",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-953-7445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariano F Deguzman, MD
• Roderick Brian Dela Cruz
• Jimaleen Delabio
• Samantha Delgreco
• Jena Lynn Delisle, DPT
• Barbara Maria Denor, OTR
• Dental 360 Kenosha
• Dental Care Providers of America
• Virginia L Denton, SLP
• Mark John Derbas, LPC

• Transportation Network Company in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Transportation Network Company in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.