White Oak Emergency Medical Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04283 Issued in PA

Legal business name

WHITE OAK EMERGENCY MEDICAL SERVICE

Practice address

2800 State St
White Oak, PA 15131-1331

Phone

(412) 672-3055

Fax

(412) 672-1616

NPI assigned

Nov 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John W. Petro Jr., PARAMEDIC

Title

Director of Operations

Phone

(412) 672-3055

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1346311420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 STATE ST",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311331",
            "telephone_number": "412-672-3055",
            "fax_number": "412-672-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 STATE ST",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311331",
            "telephone_number": "412-672-3055",
            "fax_number": "412-672-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK EMERGENCY MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "PETRO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "412-672-3055",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1062779",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590003310",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Anne Viola, PHARMD
• Douglas C Warden, PTA
• Robert Wayne Weiser, PA-C
• Raianne Martha Welling, MA
• White Oak Counseling, Inc (Barbara L Check, MS, MSW, LCSW)
• White Oak OB GYN Services PC
• White Oak Wellness
• James Joseph Worry II, DHSC, MPAS, PA-C
• Justin Zebrak, PHARMD
• Joel Zentner

• Land Ambulance in White Oak, PA
• Providers in White Oak, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.