Pegasus Medical Transport, LLC

Primary specialty

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

Legal business name

PEGASUS MEDICAL TRANSPORT, LLC

Practice address

7233 Towles Mill Road
Spotsylvania, VA 22551

Phone

(540) 656-6942

NPI assigned

May 10, 2023

Organization subpart

Yes

Parent organization

PEGASUS MEDICAL TRANSPORT, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Wayne Kenneth Shover

Title

President

Phone

(540) 656-6942

Specialties & licenses 1

Addresses

Part of

Pegasus Medical Transport LLC

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1457041709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 TOWLES MILL ROAD",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "22551",
            "telephone_number": "540-656-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 TOWLES MILL ROAD",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "22551",
            "telephone_number": "540-656-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEGASUS MEDICAL TRANSPORT, LLC",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "SHOVER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-656-6942",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Spotsylvania, VA
• Providers in Spotsylvania, VA by specialty
• Non-emergency Medical Transport (VAN) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.