Individual provider Active NPI

Pobtsuas Thoj

  • Non-emergency Medical Transport (VAN)
  • Madison, WI
National Provider Identifier
1245992957
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Practice address
4330 Nakoosa TRL Apt 2
Madison, WI 53714-1354
Phone
(608) 572-2516
NPI assigned
Oct 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 2

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

Addresses

Primary practice location

4330 Nakoosa TRL Apt 2
Madison, WI 53714-1354

Mailing address

4330 Nakoosa TRL Apt 2
Madison, WI 53714-1354
Phone (608) 572-2516

Other identifiers 2

IdentifierTypeStateIssuer
555-555-55551OtherWINONE
NONEOtherWINONE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TPOBTSUAS70@GMAIL.COM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1245992957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4330 NAKOOSA TRL APT 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141354",
            "telephone_number": "608-572-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 NAKOOSA TRL APT 2",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537141354",
            "telephone_number": "608-572-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOJ",
        "first_name": "POBTSUAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "555-555-55551",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TPOBTSUAS70@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "GENERAL",
            "address_1": "4330 Nakoosa Trl Apt 2",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537141354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.