United Medical Transport, LTD.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04039 Issued in PA

Legal business name

UNITED MEDICAL TRANSPORT, LTD.

Doing business as

United Medical Transport

Practice address

2860 Hedley St
Suite # 103
Philadelphia, PA 19137-1919

Phone

(215) 969-7700

Fax

(215) 969-7006

NPI assigned

Dec 26, 2006

Last updated

Jan 20, 2012By 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. Eduard Davidyuk

Title

President

Phone

(215) 969-7700

Specialties & licenses 1

Addresses

Other names 1

• United Medical Transport Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1659436020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21028",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191140528",
            "telephone_number": "215-969-7700",
            "fax_number": "215-969-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 HEDLEY ST",
            "address_2": "SUITE # 103",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191371919",
            "telephone_number": "215-969-7700",
            "fax_number": "215-969-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL TRANSPORT, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "DAVIDYUK",
        "authorized_official_first_name": "EDUARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-969-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.