SRT Med Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

250805 Issued in OH

Legal business name

SRT MED TRANSPORTATION LLC

Practice address

1707 Weather Stone LN
Columbus, OH 43235-1985

Phone

(614) 322-9490

NPI assigned

Jan 26, 2015

Last updated

Jan 26, 2015By 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

Mr. Badereldin Mansour

Title

Owner/Manager

Phone

(614) 322-9490

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1588054860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 WEATHER STONE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351985",
            "telephone_number": "614-322-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 WEATHER STONE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351985",
            "telephone_number": "614-322-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRT MED TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "BADERELDIN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "614-322-9490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "250805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093544",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anuja Sriparameswaran, M.D.
• Srinath Sriram, M.D.
• Kanokraj Srisukho, D.D.S., M.S.
• Andrew Srisuwananukorn, MD
• Shachi Srivatsa
• Justine Nnantege Ssebaggala, L.P.N.
• SSTH, LLC (Central Ohio Home Help Agency)
• Ssy Transportation, LLC
• Rebecca St Clair, LSW
• Andrew St Jacques, CDCA

• Non-emergency Medical Transport (VAN) in Columbus, OH
• Providers in Columbus, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.