Ohio Medical Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

OHIO MEDICAL TRANSPORT LLC

Practice address

2740 W National Rd
Dayton, OH 45414-1108

Phone

(937) 877-1235

Fax

(937) 387-9370

NPI assigned

Jun 2, 2010

Organization subpart

No

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

Authorized official

Name

Linda Gebhart

Title

Credentialing Specialist

Phone

(937) 877-1235

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541548800000",
    "number": "1316267297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453710307",
            "telephone_number": "937-877-1235",
            "fax_number": "937-387-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W NATIONAL RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454141108",
            "telephone_number": "937-877-1235",
            "fax_number": "937-387-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2018-11-07",
        "status": "A",
        "authorized_official_last_name": "GEBHART",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "937-877-1235"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0061966",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ohio Healthcare Plus, LLC
• Ohio Institute for Comprehensive Pain Management, Inc.
• Ohio Institute of Cardiac Care, Inc.
• Ohio Living Holdings
• Ohio Medicaid Provider
• Ohio Musculoskeletal Sports and Spine
• Ohio Neurosurgical Institute Inc
• Ohio Nutrition Counseling
• Ohio Outpatient Services, Inc., a Professional Association
• Ohio Pain Clinic, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.