Medic Pro of Virginia

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MEDIC PRO OF VIRGINIA

Practice address

1296 Carter Rd
Farmville, VA 23901-5887

Phone

(434) 808-5659

NPI assigned

Feb 21, 2020

Last updated

Feb 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kashyn R Martin

Title

Owner

Phone

(434) 808-5659

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582329600000",
    "number": "1205460839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 CARTER RD",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239015887",
            "telephone_number": "434-808-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 CARTER RD",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239015887",
            "telephone_number": "434-808-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC PRO OF VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KASHYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-808-5659"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Marie McCarter, PHARM. D
• Warren McCarter, MD
• Mykole McCray, LCSW
• Emmett R McLane, DDS
• Christianne Parisi McLean, MD
• Sharon Menegoni, ATC
• James Wesely Messer Jr., A.T.,C., NASM-PES
• Michael E. Krone, D.D.S. & Associates
• William David Midgette, DNP, NP-C
• Margrette Macfie Moore, MD

• Land Ambulance in Farmville, VA
• Providers in Farmville, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; 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.