Organization Active NPI

Meda Care Vans of Waukesha

  • Non-emergency Medical Transport (VAN)
  • Pewaukee, WI
National Provider Identifier
1205090438
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDA CARE VANS OF WAUKESHA
Practice address
N15W24817 Bluemound Rd
Pewaukee, WI 53072-4620
Phone
(262) 650-1000
Fax
(262) 650-1029
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Mr. John V Doherty
Title
President
Phone
(414) 264-2000

Specialties & licenses 1

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

Addresses

Primary practice location

N15W24817 Bluemound Rd
Pewaukee, WI 53072-4620

Mailing address

N15W24817 Bluemound Rd
Pewaukee, WI 53072-4620
Phone (262) 650-1000

Other identifiers 1

IdentifierTypeStateIssuer
41459700MedicaidWI

National Provider Directory

National Provider Directory

Locations

N15W24817 Bluemound Rd
Pewaukee, WI 53072
Phone (262) 650-1000

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1205090438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N15W24817 BLUEMOUND RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530724620",
            "telephone_number": "262-650-1000",
            "fax_number": "262-650-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N15W24817 BLUEMOUND RD",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530724620",
            "telephone_number": "262-650-1000",
            "fax_number": "262-650-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDA CARE VANS OF WAUKESHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-264-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41459700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.