Organization Active NPI

Shaler Area Emergency Medical Services, Inc.

  • Land Ambulance
  • Glenshaw, PA
National Provider Identifier
1477594240
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
04094 Issued in PA
Legal business name
SHALER AREA EMERGENCY MEDICAL SERVICES, INC.
Practice address
339 Wetzel Rd
Glenshaw, PA 15116-2238
Phone
(412) 487-6590
Fax
(412) 487-2267
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Mr. Edmund Olsezewski Jr.
Title
President
Phone
(412) 487-6590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 04094 PA Primary

Addresses

Primary practice location

339 Wetzel Rd
Glenshaw, PA 15116-2238

Mailing address

PO Box 18537
Pleasant Hills, PA 15236-0537
Phone (412) 487-6590

Other identifiers 3

IdentifierTypeStateIssuer
223067OtherMEDICARE
590007649OtherRR MEDICARE
0014084800005MedicaidPA

Other names 1

  • Shaler EMS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060822000264 PA Part B Supplier - Ambulance Service Supplier 9133122740 Practice locations: Glenshaw, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2008700Shaler Area EMS Inc339 Wetzel Road, Glenshaw, PA 15116Certificate of waiverJun 15, 2028

National Provider Directory

National Provider Directory

Locations

339 Wetzel Rd
Glenshaw, PA 15116
Phone (412) 487-6590

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1477594240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18537",
            "city": "PLEASANT HILLS",
            "state": "PA",
            "postal_code": "152360537",
            "telephone_number": "412-487-6590",
            "fax_number": "412-487-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 WETZEL RD",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151162238",
            "telephone_number": "412-487-6590",
            "fax_number": "412-487-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHALER AREA EMERGENCY MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "OLSEZEWSKI",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-487-6590",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "223067",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590007649",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014084800005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shaler EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glenshaw, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.