Medcare Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

015109 Issued in TX

Legal business name

MEDCARE AMBULANCE INC

Practice address

3503 S WW White Rd
San Antonio, TX 78222-5017

Phone

(210) 337-7772

Fax

(210) 337-9282

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Mitchel Wade Shaner

Title

Pres

Phone

(210) 337-7772

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1255448908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 625",
            "city": "ADKINS",
            "state": "TX",
            "postal_code": "781010625",
            "telephone_number": "210-337-7772",
            "fax_number": "210-337-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 S WW WHITE RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782225017",
            "telephone_number": "210-337-7772",
            "fax_number": "210-337-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "SHANER",
        "authorized_official_first_name": "MITCHEL",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "210-337-7772"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "015109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179039601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD TX",
            "identifier": "AMB814",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AMB814",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD MEDICARE",
            "identifier": "P00718077",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherree Medalla Ponomariov
• Tejas Reddy Medapalli, MD
• Paul Medaris, PT
• Medberry Health PLLC
• Medbridge Solutions LLC
• Medcare Associates, P.a.
• Medcare Health Services, Inc
• Medcede Physician Services, PLLC
• Medcenter Pain Management Clinic LLC
• Medcenter Surgery Center Inc

• All providers in San Antonio, TX
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.