Pellin Emergency Med SE

Primary specialty

AmbulanceTaxonomy code 341600000X

License

500052 Issued in OH

Legal business name

PELLIN EMERGENCY MED SE

Practice address

10808 Akron-Canfield Rd
Ellsworth, OH 44416-0000

Phone

(330) 533-2288

Fax

(330) 533-8467

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Vanessa A Pellin, PARAMEDIC

Title

President

Phone

(330) 533-2288

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1598849010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60",
            "address_2": "10808 AKRON-CANFIELD RD",
            "city": "ELLSWORTH",
            "state": "OH",
            "postal_code": "444160060",
            "telephone_number": "330-533-2288",
            "fax_number": "330-533-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 AKRON-CANFIELD RD",
            "city": "ELLSWORTH",
            "state": "OH",
            "postal_code": "444160000",
            "telephone_number": "330-533-2288",
            "fax_number": "330-533-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELLIN EMERGENCY MED SE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "PELLIN",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-533-2288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "500052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0560183",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellsworth Township

• Ambulance in Ellsworth, OH
• Providers in Ellsworth, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.