Execmed, LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

AIR.ES.60303866 Issued in WA

Legal business name

EXECMED, LLC

Practice address

8244 122ND Ave NE
Kirkland, WA 98033-8017

Phone

(855) 633-3544

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

David Hedequist

Title

Member

Phone

(855) 633-3544

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1295088029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177770055",
            "telephone_number": "570-538-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8244 122ND AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980338017",
            "telephone_number": "855-633-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECMED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "HEDEQUIST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "855-633-3544"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "WA",
            "license": "AIR.ES.60303866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.