Organization Active NPI

Professional Medical Transport

  • Land Ambulance
  • Knoxville, TN
National Provider Identifier
1659350809
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS0000010020 Issued in TN
Legal business name
PROFESSIONAL MEDICAL TRANSPORT
Practice address
1335 Callahan Dr.
Knoxville, TN 37912-1204
Phone
(865) 938-2273
Fax
(865) 938-1638
NPI assigned
Jan 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Danny Lynn Henderlight
Title
Ceo
Phone
(865) 938-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X EMS0000010020 TN Primary

Addresses

Primary practice location

1335 Callahan Dr.
Knoxville, TN 37912-1204

Mailing address

PO Box 1509
Norris, TN 37828-1509
Phone (865) 689-5262

Other identifiers 1

IdentifierTypeStateIssuer
3574612MedicaidTN

Other names 1

  • 'Promed EMS' Other name

National Provider Directory

National Provider Directory

Locations

1921 E Magnolia Ave
Knoxville, TN 37917
Phone (615) 933-1968

1335 Callahan Dr
Knoxville, TN 37912
Phone (865) 938-2273

NPI Registry JSON

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1659350809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1509",
            "city": "NORRIS",
            "state": "TN",
            "postal_code": "378281509",
            "telephone_number": "865-689-5262",
            "fax_number": "865-689-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 CALLAHAN DR.",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379121204",
            "telephone_number": "865-938-2273",
            "fax_number": "865-938-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-14",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "HENDERLIGHT",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-938-2273"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TN",
            "license": "EMS0000010020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3574612",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "'Promed EMS'",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.