Vick M Ghenda

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Practice address

3702 Rolling Green Dr Apt 8101
Abilene, TX 79606-2881

Phone

(325) 513-7240

NPI assigned

Feb 3, 2022

Last updated

Mar 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phil 413 Transport Care

  • Secured Medical Transport (VAN)
  • Fort Worth, TX
  • NPI 1811638794
  NPD Authorized official

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1588317010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 ROLLING GREEN DR APT 8101",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796062881",
            "telephone_number": "325-513-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 ROLLING GREEN DR APT 8101",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796062881",
            "telephone_number": "325-513-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHENDA",
        "first_name": "VICK",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James G Gemberling, PTA
• Erica Gentile
• Kaylee Jordan Gentry
• Randa Gentry
• Ryan Adam George
• Ali-Reza Ghergherehchi, MD
• Khawla Ghizlane
• Ella Gibbons
• Amy R Gibbs, OTR
• Matthew Gibbs, RBT

• Secured Medical Transport (VAN) in Abilene, TX
• Providers in Abilene, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.