Active NPI
V.a. Transportation
- Non-emergency Medical Transport (VAN)
- Milwaukee, WI
National Provider Identifier
1225219686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Transportation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Fox Point, WI
- NPI 1619353364
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.