Organization Active NPI

V.a. Transportation

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
National Provider Identifier
1225219686
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
V.A. TRANSPORTATION
Practice address
411 W Willow Terrace
Milwaukee, WI 53217-2662
Phone
(414) 352-4511
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Viktor Azimov
Title
Manager
Phone
(414) 807-4413

Specialties & licenses 1

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

Addresses

Primary practice location

411 W Willow Terrace
Milwaukee, WI 53217-2662

Mailing address

411 W Willow Ter
Milwaukee, WI 53217-2662
Phone (414) 352-4511

National Provider Directory

National Provider Directory
Tax ID family
VA Transportation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1225219686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W WILLOW TER",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532172662",
            "telephone_number": "414-352-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W WILLOW TERRACE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532172662",
            "telephone_number": "414-352-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V.A. TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "AZIMOV",
        "authorized_official_first_name": "VIKTOR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-807-4413"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.