Commonwealth EMS, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COMMONWEALTH EMS, LLC

Practice address

101 Juliad CT
Suite 118
Fredericksburg, VA 22406-1123

Phone

(202) 351-1512

Fax

(540) 371-4821

NPI assigned

Jun 11, 2015

Last updated

Jul 21, 2016By 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. Nazar Mohammed

Title

Owner

Phone

(202) 351-1512

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1447631825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JULIAD CT",
            "address_2": "SUITE 118",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061123",
            "telephone_number": "202-351-1512",
            "fax_number": "540-371-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JULIAD CT",
            "address_2": "SUITE 118",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061123",
            "telephone_number": "202-351-1512",
            "fax_number": "540-371-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "NAZAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-351-1512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA DEPARTMENT OF HEALTH, OFFICE OF EMERGENCY MEDICAL SERVICES",
            "identifier": "1354",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul M. Colopy, MD
• Paul Marvin Colton, PMHNP-BC
• Cassie Colvin
• Comfort Medical Supply, Inc. (Comfort Medical Supply)
• Common Sense Healing LLC
• Commonwealth Internal Medicine, PC
• Commonwealth of Virginia State Board of Health (Child Development Center)
• Commonwealth of Virginia State Board of Health (Fredericksburg Health Department)
• Commonwealth Perinatal Services, LLC
• Commonwealth Spine & Rehab Centers, LLC

• Land Ambulance in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.