Organization Active NPI

Skymed LLC.

Doing business as Air Ambulance 1

  • Air Ambulance
  • Houston, TX
National Provider Identifier
1396053138
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
1000700 Issued in TX
Legal business name
SKYMED LLC.
Doing business as
Air Ambulance 1
Practice address
10830 Craighead Dr
Houston, TX 77025-5804
Phone
(800) 424-9000
Fax
(800) 424-9000
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Authorized official

Name
Mr. Sharon Amos
Title
Executive Director
Phone
(832) 265-5666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 1000700 TX Primary

Addresses

Primary practice location

10830 Craighead Dr
Houston, TX 77025-5804

Mailing address

10830 Craighead Dr
Houston, TX 77025-5804
Phone (800) 424-9000

Other names 1

  • Air Ambulance 1 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120206000425 TX Part B Supplier - Ambulance Service Supplier 6709043540 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

10830 Craighead Dr
#1
Houston, TX 77025
Phone (832) 900-9000

9660 Hillcroft Ave
Ste 516
Houston, TX 77096
Phone (877) 247-1633

10830 Craighead Dr
Houston, TX 77025
Phone (713) 730-9335

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1396053138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10830 CRAIGHEAD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255804",
            "telephone_number": "800-424-9000",
            "fax_number": "800-424-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 CRAIGHEAD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255804",
            "telephone_number": "800-424-9000",
            "fax_number": "800-424-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYMED LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "832-265-5666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "TX",
            "license": "1000700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Air Ambulance 1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.