Professional Medical Response, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PROFESSIONAL MEDICAL RESPONSE, LLC

Practice address

137 Maple Drive
Shohola, PA 18458

Phone

(570) 241-9070

Fax

(570) 686-0010

NPI assigned

Nov 30, 2021

Last updated

Mar 29, 2023By 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

Kyle MihalikNPI 1942893326

Title

Ceo

Phone

(570) 468-3123

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Mihalik

  • Technician/Technologist
  • Milford, PA
  • NPI 1942893326
  NPD Authorized official

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

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1558029165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "724-887-6822",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAPLE DRIVE",
            "city": "SHOHOLA",
            "state": "PA",
            "postal_code": "18458",
            "telephone_number": "570-241-9070",
            "fax_number": "570-686-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL RESPONSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-30",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "MIHALIK",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "570-468-3123"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Paperwork@pmr-ems.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10 Buist Rd Ste 305",
            "city": "Milford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "183379311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Lynne Ficken, PT
• Nadege Hoeper, DC
• Amanda Holtzer
• Anne Parker, MS CCC-SLP
• Pediatric Therapy Associates of NE, PA Inc
• Lisa Reyes
• Angelina C Rhoades, LCSW
• Carley Elizabeth Salas, MS, RDN
• Shohola Volunteer Fire Department
• Lorraine Spinard, DC

• Land Ambulance in Shohola, PA
• Providers in Shohola, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.