City of Ft. Wright

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1477 Issued in KY

Legal business name

CITY OF FT. WRIGHT

Practice address

409 Kyles LN
Fort Wright, KY 41011-3743

Phone

(859) 331-2600

Fax

(859) 331-0454

NPI assigned

Jul 14, 2005

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Schewe

Title

Chief

Phone

(859) 331-2600

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1295734051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVENUE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "304-522-7533",
            "fax_number": "304-522-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 KYLES LN",
            "city": "FORT WRIGHT",
            "state": "KY",
            "postal_code": "410113743",
            "telephone_number": "859-331-2600",
            "fax_number": "859-331-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF FT. WRIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SCHEWE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "859-331-2600"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KY",
            "license": "1477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2354438",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55059125",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000069984",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50016080",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly D Brunson, M.D.
• Maria Burton, M.D.
• Darla N Cahill, M.D.
• Bernice Raeann Calhoun, LCSW, ACADC
• Caretenders VS of Central Ky, LLC (Caretenders of Northern Kentucky)
• Erin Cody
• Jazmyn Coleman
• Jennifer Lynn Cruse, PT
• Gary James Davis, PHARM. D.
• Sarah Deutch

• Ambulance in Ft Wright, KY
• Providers in Ft Wright, KY by specialty
• Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.