Kenny E Samuel

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

41488300 Issued in WI

Practice address

6621 N Yuba St
Milwaukee, WI 53223-5759

Phone

(414) 406-1438

Fax

(414) 353-5633

NPI assigned

Jun 12, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Distinctive Care Transportation Company Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Distinctive Care Transportation Company

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
  • NPI 1750566543
  NPD (past) Authorized official

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1245467554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 090374",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532090374",
            "telephone_number": "414-406-1438",
            "fax_number": "414-353-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 N YUBA ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532235759",
            "telephone_number": "414-406-1438",
            "fax_number": "414-353-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "KENNY",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": "41488300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DISTINCTIVE",
            "last_name": "TRANSPORTATION COMPANY",
            "middle_name": "CARE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Patricia Alberta Sampson-Davis
• Bridget Sampson
• Sams East Inc (Sams Pharmacy 10-6324)
• Hannah Samson, DO
• Erica Ann Samuel, M.D.
• Linda M Samuel, OT
• Martin E Samuel, MD
• Jacob Lawrence Samuelson, DDS
• Margaret Mary Samyn, M.D.
• Eleazar San-Agustin, M.D.

• Non-emergency Medical Transport (VAN) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Non-emergency Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.