Tsegaye Mamo Ebsa

Primary specialty

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

License

XOD558 Issued in CO

Practice address

2184 S Joplin Way
Aurora, CO 80013-1028

Phone

(720) 341-4631

NPI assigned

May 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1487211710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 S JOPLIN WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800131028",
            "telephone_number": "720-341-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2184 S JOPLIN WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800131028",
            "telephone_number": "720-341-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBSA",
        "first_name": "TSEGAYE",
        "middle_name": "MAMO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "XOD558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Eberhard, RD
• Christopher Eberle
• Alexander E Ebinger, M.D.
• Darren Elliott Eblovi, M.D.
• Kirsti Ebner
• Audra Mae Ebsen, BSW
• Nicholas Echeverri
• Delray Echohawk
• Mark Archer Eckardt, MD
• Robert Eckel, MD

• Non-emergency Medical Transport (VAN) in Aurora, CO
• Providers in Aurora, CO by specialty
• Non-emergency Medical Transport (VAN) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.