Phoenix Emergency Service, Inc.

Primary specialty

ParamedicTaxonomy code 146L00000X

License

300260 Issued in TX

Legal business name

PHOENIX EMERGENCY SERVICE, INC.

Practice address

761 Carolina St
Katy, TX 77494-8252

Phone

(281) 392-4251

Fax

(281) 392-8177

NPI assigned

Oct 27, 2005

Organization subpart

No

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

Authorized official

Name

Sam Morin, EMT-P

Title

Administrator

Phone

(281) 392-4251

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1477543635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 CAROLINA ST",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948252",
            "telephone_number": "281-392-4251",
            "fax_number": "281-392-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 CAROLINA ST",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948252",
            "telephone_number": "281-392-4251",
            "fax_number": "281-392-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX EMERGENCY SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-392-4251",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "TX",
            "license": "300260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROVIDER #",
            "identifier": "300260",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AOAMB0934",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jolie Philyaw
• Ashley Danielle Phlegm, B.A.
• Phlex RX LLC
• Jimmy D Pho, DDS
• Phoenix Counseling & Wellness
• Phoenix EMS Inc
• Phoenix EMS West, Inc.
• Phoenix Minds LLC
• Phoenix Surgical Services
• Physical Therapy Care

• Paramedic in Katy, TX
• Providers in Katy, TX by specialty
• Paramedic in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.