Angel's Secret Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

Q588562 Issued in OH

Legal business name

ANGEL'S SECRET TRANSPORTATION

Practice address

10335 Keeney St
Erie, MI 48133-9787

Phone

(734) 317-7154

NPI assigned

Mar 10, 2009

Last updated

Mar 10, 2009By 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

Mr. Martin D Zydorczyk I

Title

Owner

Phone

(419) 304-1197

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1386885044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10335 KEENEY ST",
            "city": "ERIE",
            "state": "MI",
            "postal_code": "481339787",
            "telephone_number": "734-317-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10335 KEENEY ST",
            "city": "ERIE",
            "state": "MI",
            "postal_code": "481339787",
            "telephone_number": "734-317-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL'S SECRET TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "ZYDORCZYK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-304-1197",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "Q588562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medical Center of Michigan, Inc (Family Medical Center of Michigan-Mason High)
• Hollie Fortman
• Christine Gaeth
• Halli Ghesquire, MAT, AT, ATC
• Brenda Kay Lake, R.N.

• Non-emergency Medical Transport (VAN) in Erie, MI
• Providers in Erie, MI by specialty
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.