Fire Department of North Versailles

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

03077 Issued in PA

Legal business name

FIRE DEPARTMENT OF NORTH VERSAILLES

Practice address

1021 Broad St
North Versailles, PA 15137-2101

Phone

(412) 829-7378

Fax

(412) 200-5615

NPI assigned

Jan 19, 2006

Organization subpart

No

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

Authorized official

Name

Ryan Marton

Title

EMS Director

Phone

(412) 829-7378

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Fire Department of North Versailles EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1215917828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "NORTH VERSAILLES",
            "state": "PA",
            "postal_code": "151370220",
            "telephone_number": "412-829-7378",
            "fax_number": "412-200-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 BROAD ST",
            "city": "NORTH VERSAILLES",
            "state": "PA",
            "postal_code": "151372101",
            "telephone_number": "412-829-7378",
            "fax_number": "412-200-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRE DEPARTMENT OF NORTH VERSAILLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "MARTON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "412-829-7378"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "03077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010400920003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE/PALMETTO GBA",
            "identifier": "590014680",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPC HEALTH",
            "identifier": "218247",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "239725",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fire Department of North Versailles EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meade Richard Douglass
• Monica Pathak Dua, MD
• East Allegheny School District
• Family Home Health Services, Inc D/B/a Three Rivers Hospice
• Jessica Fenton, MD
• Ken-Netta Fowlkes, BA ,MA
• Sheria Yolanda Francis, MSW. LCSW
• Michelle Lynn Gressem, LSW
• Amanda Harris
• Stephanie Susan Hazard, CRNA

• Land Ambulance in North Versailles, PA
• Providers in North Versailles, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.