Shoreline Medical Transport LLC

Primary specialty

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

Legal business name

SHORELINE MEDICAL TRANSPORT LLC

Practice address

452 Browns Cove Rd
Suite B
Ridgeland, SC 29936-8164

Phone

(843) 645-9191

NPI assigned

Jul 28, 2011

Organization subpart

No

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

Authorized official

Name

David B Greenfield, MD

Title

Medical Director

Phone

(912) 660-3989

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1457639148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 BROWNS COVE RD",
            "address_2": "SUITE B",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368164",
            "telephone_number": "843-645-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 BROWNS COVE RD",
            "address_2": "SUITE B",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299368164",
            "telephone_number": "843-645-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-28",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "912-660-3989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SC Opco LLC (Ridgeland Nursing and Rehab Center)
• Sc278 Medical Group PA
• Kristin Scott-Groves, MSW
• Daryl Seldes
• Shoreline Medical Transport
• Mark Alan Siar
• Paige Simon, EDD, LPC, NCC, ACS
• Antreana Romanda Singleton
• Gregory Slachta, M.D.
• Amya Smith

• Non-emergency Medical Transport (VAN) in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Non-emergency Medical Transport (VAN) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.