NPIMap

Organization Active NPI

Northstar EMS, Inc.

Doing business as NorthStar Paramedic Svcs-Jefferson

  • Land Ambulance
  • Bessemer, AL
National Provider Identifier
1265406854
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
545 Issued in AL
Legal business name
NORTHSTAR EMS, INC.
Doing business as
NorthStar Paramedic Svcs-Jefferson
Practice address
6285 Park South Dr Ste 200
Bessemer, AL 35022-5670
Phone
(205) 424-1909
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Mr. Jon Anthony Smelley
Title
Ceo
Phone
(205) 247-4748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 545 AL Primary

Addresses

Primary practice location

6285 Park South Dr Ste 200
Bessemer, AL 35022-5670

Mailing address

PO Box 2788
Tuscaloosa, AL 35403-2788
Phone (205) 752-5866

Other names 1

  • NorthStar Paramedic Svcs-Jefferson Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040105000334 AL Part B Supplier - Ambulance Service Supplier 6305745837 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tuscaloosa, AL; Winfield, AL; Fayette, AL; Talladega, AL; Bessemer, AL

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Northstar EMS Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

450 10th Ave S
Apt A
Birmingham, AL 35205
Phone (205) 424-1909

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1265406854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2788",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032788",
            "telephone_number": "205-752-5866",
            "fax_number": "205-345-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 PARK SOUTH DR STE 200",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225670",
            "telephone_number": "205-424-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "SMELLEY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-247-4748",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthStar Paramedic Svcs-Jefferson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NorthStar Paramedic Svcs-Jefferson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.