Active NPI
Promed & Associated, Inc
- Land Ambulance
- Houston, TX
National Provider Identifier
1205899374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 300104
- Legal business name
- PROMED & ASSOCIATED, INC
- Practice address
- 6820 Larkwood Dr
Houston, TX 77074-3520 - Phone
- (713) 771-6673
- Fax
- (713) 771-8449
- NPI assigned
- Apr 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gene Vernik
- Title
- Manager
- Phone
- (713) 771-6673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 300104 | TX | Primary |
Addresses
Primary practice location
6820 Larkwood Dr
Houston, TX 77074-3520
Mailing address
PO Box 770665
Houston, TX 77215-0665
Phone (713) 771-6673
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528232 | Other | TX | BCBSTX INSURANCE |
| MEDICAID | Medicaid | TX | |
| RAILROAD MEDICARE | Other | TX | 590011272 |
Other names 1
- United Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040720000519 | TX | Part B Supplier - Ambulance Service Supplier | 7517946767 | Practice locations: Houston, TX |
National Provider Directory
National Provider DirectoryLocations
6006 Bellaire Blvd
Ste 119
Houston, TX 77081
Phone (713) 771-4222
6411 Ashcroft Dr
Ste C
Houston, TX 77081
Phone (713) 771-4222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722470400000",
"number": "1205899374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 770665",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772150665",
"telephone_number": "713-771-6673",
"fax_number": "713-771-8449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6820 LARKWOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770743520",
"telephone_number": "713-771-6673",
"fax_number": "713-771-8449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROMED & ASSOCIATED, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-10",
"last_updated": "2024-08-01",
"certification_date": "2024-08-01",
"status": "A",
"authorized_official_last_name": "VERNIK",
"authorized_official_first_name": "GENE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "713-771-6673"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "300104",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX INSURANCE",
"identifier": "528232",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MEDICAID",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "590011272",
"identifier": "RAILROAD MEDICARE",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "United Ambulance",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "United Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.