Patriot EMS Group, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

License

101503 Issued in TX

Legal business name

PATRIOT EMS GROUP, INC.

Doing business as

Patriot EMS Group, Inc.

Practice address

12411 Ann LN
Houston, TX 77064-1205

Phone

(281) 897-8918

Fax

(281) 897-8927

NPI assigned

Jul 21, 2006

Last updated

Aug 3, 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

Shannon Wade, PARAMEDIC

Title

President/Ceo

Phone

(281) 897-8918

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Patriot EMS Group, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312329600000",
    "number": "1578584124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691245",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772691245",
            "telephone_number": "281-897-8918",
            "fax_number": "281-897-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12411 ANN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641205",
            "telephone_number": "281-897-8918",
            "fax_number": "281-897-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT EMS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-08-03",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "281-897-8918",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "101503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180243101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "AMB756",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00249093",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00249093",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patriot EMS Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Michelle Patrick, FNP
• Oyebola Patrick
• Susan Kinney Patrick, LCSW
• Patrick's Casa
• Patrick's Home
• Michelle Patriquin, PH.D.
• Allyson Thomas Patronella, M.D.
• Christopher Keven Patronella, M. D.
• Gabriella Patronella, LPC, NCC
• Janina Patsch, MD PHD

• Ambulance in Houston, TX
• Providers in Houston, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.