Organization Active NPI

Medical Transportation Associates LLC

  • Non-emergency Medical Transport (VAN)
  • Cleveland, OH
National Provider Identifier
1598971046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
186255 Issued in OH
Legal business name
MEDICAL TRANSPORTATION ASSOCIATES LLC
Practice address
17600 Miles Ave
Suite a
Cleveland, OH 44128-3406
Phone
(216) 283-9900
Fax
(216) 283-9903
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Edward O Ozuem
Title
Vice President
Phone
(216) 276-7395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 186255 OH Primary

Addresses

Primary practice location

17600 Miles Ave
Suite a
Cleveland, OH 44128-3406

Mailing address

17600 Miles Ave
Suite a
Cleveland, OH 44128-3406
Phone (216) 283-9900

Other identifiers 1

IdentifierTypeStateIssuer
2533459MedicaidOH

National Provider Directory

National Provider Directory

Locations

17600 Miles Ave
Ste A
Cleveland, OH 44128
Phone (216) 283-9900

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598971046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 MILES AVE",
            "address_2": "SUITE A",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441283406",
            "telephone_number": "216-283-9900",
            "fax_number": "216-283-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 MILES AVE",
            "address_2": "SUITE A",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441283406",
            "telephone_number": "216-283-9900",
            "fax_number": "216-283-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TRANSPORTATION ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OZUEM",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "216-276-7395",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "186255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2533459",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.