Eagle Medical Transports, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1277 Issued in VA

Legal business name

EAGLE MEDICAL TRANSPORTS, LLC

Practice address

570 Industrial Park Dr
Newport News, VA 23608-8636

Phone

(804) 824-8019

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Shaun Allen Sorensen, EMT-I

Title

Member, Manager

Phone

(804) 824-8019

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1497933477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 INDUSTRIAL PARK DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236088636",
            "telephone_number": "804-824-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 INDUSTRIAL PARK DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236088636",
            "telephone_number": "804-824-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE MEDICAL TRANSPORTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MEMBER, MANAGER",
        "authorized_official_telephone_number": "804-824-8019",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-I"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "1277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meenal D. Dwyer, M.D.
• Dynox
• Each One Teach One, LLC
• Jay D Eackles, M.ED.
• Michael Allyson Eades
• East End Academy, Inc
• East End Intensive Outpatient Program
• East End Pharmacy Inc
• Eastern Virginia Adult Care, LLC
• Eastern Virginia Rheumatology PLC

• Land Ambulance in Newport News, VA
• Providers in Newport News, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.