Organization Active NPI

Premium Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Powell, OH
National Provider Identifier
1548949407
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PREMIUM TRANSPORTATION LLC
Practice address
7475 Fairfield Lakes Dr
Powell, OH 43065-7881
Phone
(614) 615-6665
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Authorized official

Name
Eric GanzaNPI 1740965268
Title
Owner/Manager
Phone
(614) 615-6665

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

7475 Fairfield Lakes Dr
Powell, OH 43065-7881

Mailing address

7475 Fairfield Lakes Dr
Powell, OH 43065-7881
Phone (614) 615-6665

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1548949407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7475 FAIRFIELD LAKES DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657881",
            "telephone_number": "614-615-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 FAIRFIELD LAKES DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657881",
            "telephone_number": "614-615-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "GANZA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "614-615-6665"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.