Med Stat EMS, LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

10000 Issued in TN

Legal business name

MED STAT EMS, LLC

Practice address

122 Paradise St
Manchester, TN 37355-7817

Phone

(931) 723-4082

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Kevin Fowler

Title

Director

Phone

(931) 723-4082

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386853570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 PARADISE ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373557817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 PARADISE ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373557817",
            "telephone_number": "931-723-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED STAT EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "931-723-4082"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TN",
            "license": "10000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Bradley McCrary, PA-C
• Donna Dee McDevitt
• Sarah Marcrom McKamey
• Brad Measells, PHARMD
• Med Stat EMS
• Medical Associates Development LLC
• Paige Forrester Merwin, PHARM. D.
• Michael C Good MD PLLC
• Michael Reynolds Counseling & Consulting PLLC
• Middle Tennessee Foot Associates P C

• Ambulance in Manchester, TN
• Providers in Manchester, TN by specialty
• Ambulance in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.