Organization Active NPI

Elite Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Westerville, OH
National Provider Identifier
1205235025
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
TT434958 Issued in OH
Legal business name
ELITE MEDICAL TRANSPORTATION
Practice address
425 W Schrock Rd
Suite 204
Westerville, OH 43081-8918
Phone
(614) 804-1503
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Brandon Lamar Swain
Title
Chief Executive Officer
Phone
(614) 804-1503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X TT434958 OH Primary

Addresses

Primary practice location

425 W Schrock Rd
Suite 204
Westerville, OH 43081-8918

Mailing address

425 W Schrock Rd
Suite 204
Westerville, OH 43081-8918
Phone (614) 804-1503

Other identifiers 1

IdentifierTypeStateIssuer
0098706MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1205235025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W SCHROCK RD",
            "address_2": "SUITE 204",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818918",
            "telephone_number": "614-804-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W SCHROCK RD",
            "address_2": "SUITE 204",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818918",
            "telephone_number": "614-804-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "SWAIN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "614-804-1503"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "TT434958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098706",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.