Active NPI
Shaler Area Emergency Medical Services, Inc.
- Land Ambulance
- Glenshaw, PA
National Provider Identifier
1477594240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 04094
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223067 | Other | MEDICARE | |
| 590007649 | Other | RR MEDICARE | |
| 0014084800005 | Medicaid | PA |
Other names 1
- Shaler EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060822000264 | PA | Part B Supplier - Ambulance Service Supplier | 9133122740 | Practice locations: Glenshaw, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2008700 | Shaler Area EMS Inc | Certificate of waiver | Jun 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.