Southport Transportation LLC

Primary specialty

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

Legal business name

SOUTHPORT TRANSPORTATION LLC

Practice address

6545 Market Ave N Ste 100
Canton, OH 44721-2430

Phone

(651) 214-8800

NPI assigned

Dec 27, 2018

Last updated

Dec 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Desi Okpetu

Title

Director

Phone

(651) 214-8800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1245702422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10311 LARK RDG",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704873",
            "telephone_number": "651-214-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 MARKET AVE N STE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212430",
            "telephone_number": "651-214-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHPORT TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "OKPETU",
        "authorized_official_first_name": "DESI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-214-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Souder
• Rachid Souleye, DO
• Ellen Kathleen Sours, R.D.,L.D.
• Gregory Southard, IMFT-S, LPCC-S
• Alison Patrice Southern, MD
• Deann Sovak, RD, LD
• Tammy Sowards
• Katherine Spangler
• Robert Theodore Spangler, M.D.
• Theodore L Spangler, MD

• Non-emergency Medical Transport (VAN) in Canton, OH
• Providers in Canton, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.