Butler Medical Transport, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

105 Issued in MD

Legal business name

BUTLER MEDICAL TRANSPORT, LLC

Practice address

3108 Lord Baltimore Dr Ste 100
Windsor Mill, MD 21244-5807

Phone

(410) 602-4007

Fax

(410) 602-4006

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Rosenberg, M.S., NRP, CCEMT-P

Title

President & Ceo

Phone

(410) 602-4007

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1477583672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 LORD BALTIMORE DR STE 100",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212445807",
            "telephone_number": "410-602-4007",
            "fax_number": "410-602-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 LORD BALTIMORE DR STE 100",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212445807",
            "telephone_number": "410-602-4007",
            "fax_number": "410-602-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "ROSENBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "410-602-4007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., NRP, CCEMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MD",
            "license": "105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400348900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.