Chapin Ambulance LLC.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CHAPIN AMBULANCE LLC.

Practice address

53 Ramah Cir S
Agawam, MA 01001-1519

Phone

(413) 209-8830

Fax

(413) 342-4556

NPI assigned

Nov 30, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Pavel Konstanhinovich Gut, MA EMTP, NRP

Title

Chief Executive Officer

Phone

(413) 636-3944

Specialties & licenses 1

Addresses

Other names 1

• Chapin Ambulance Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1497413124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 RAMAH CIR S",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011519",
            "telephone_number": "413-209-8830",
            "fax_number": "413-342-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 RAMAH CIR S",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011519",
            "telephone_number": "413-209-8830",
            "fax_number": "413-342-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPIN AMBULANCE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "GUT",
        "authorized_official_first_name": "PAVEL",
        "authorized_official_middle_name": "KONSTANHINOVICH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "413-636-3944",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA EMTP, NRP"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pavgutchapinambulance@gmail.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email on secured network",
            "address_1": "53 Ramah Cir S",
            "city": "Agawam",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010011519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Chapin Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Carley, PHYSICAL THERAPISTS
• Kathleen Marie Cartier, DPT
• Sarah Marie Castle
• Tracy Renee Cerasuolo, MSPT
• Chanda Care Inc
• Rebecca M Chevalier-Bzdick, DNP, FNP-C
• Christopher A Chrisanthopoulos, P.T.A.
• Christopher J Magiera DMD PC
• Dara Clauson, OTR/L
• Irene N Cody, M.D.

• All providers in Agawam, MA
• Land Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.