Patriot Emergency Medical Services

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

440022 Issued in OH

Legal business name

PATRIOT EMERGENCY MEDICAL SERVICES

Practice address

2914 S 4TH St
Ironton, OH 45638-2867

Phone

(740) 532-2222

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Rotter

Title

President

Phone

(740) 532-2222

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PATRIOT EMS Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Lawrence County Emergency Medical Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Patriot Emergency Medical Service

  • Land Ambulance
  • Ironton, OH
  • NPI 1497058846
  NPD tax ID

Locations

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1265545941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424315011",
            "telephone_number": "270-824-8123",
            "fax_number": "270-824-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 S 4TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382867",
            "telephone_number": "740-532-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "ROTTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-532-2222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "440022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2530756",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000356734",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patriot EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PATRIOT EMS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PATRIOT EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sujdtra Parker
• Morgan Parks
• Peyton Patrick
• Patrio D Tismo PA Inc
• Patriot Emergency Medical Service
• Patriot Management and Investments Company LLC
• Jarod Patterson, LCDCIII, QMHS
• Latesha Patterson
• Hannah M Pauley, LPC
• Misty Pauley

• Land Ambulance in Ironton, OH
• Providers in Ironton, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.