Med Star Paramedic Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MED STAR PARAMEDIC INC

Practice address

922 E Redwood Blvd
Brandon, SD 57005

Phone

(605) 582-6096

Fax

(605) 582-8983

NPI assigned

Nov 17, 2006

Last updated

Jun 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judith C Zimmerman

Title

Business Office Manager

Phone

(605) 582-6096

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Med Star Paramedic Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Med-Star Transit LLC

  • Non-emergency Medical Transport (VAN)
  • Brandon, SD
  • NPI 1720528110
  NPD tax ID

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1548334246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "address_2": "922 E REDWOOD BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "57005",
            "telephone_number": "605-582-6096",
            "fax_number": "605-582-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 E REDWOOD BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "57005",
            "telephone_number": "605-582-6096",
            "fax_number": "605-582-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED STAR PARAMEDIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "605-582-6096"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "SD",
            "license": "0015",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9011110",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lotus Bloom Counseling, LLC
• Karlie Renae Maki, ED.S., NCSP
• Kelly Mayo, LMT
• Michelle McElroy, M.D.
• McCamey McKinley, DDS
• Med-Star Transit LLC
• Katie Melius, PHARMD
• Michael R Juba DDS Inc
• Leslie Miller
• Ardis Ilene Moeller, RN

• Land Ambulance in Brandon, SD
• Providers in Brandon, SD by specialty
• Land Ambulance in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.