Deebamou Medical Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

DEEBAMOU MEDICAL TRANSPORT LLC

Practice address

4108 Dover Rd
Louisville, KY 40216-3526

Phone

(502) 797-8616

NPI assigned

Jul 30, 2022

Last updated

Aug 1, 2022By 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. Stephen M Wilson

Title

Manager

Phone

(502) 797-8616

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1659139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1669108627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4108 DOVER RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163526",
            "telephone_number": "502-797-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4108 DOVER RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402163526",
            "telephone_number": "502-797-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEBAMOU MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-797-8616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Curry Dedman, MD
• Matthew Tyler Dedomenico, DMD
• Dee & Associates PLLC
• Lori J Dee, R.D.
• Michael William Dee, MD
• Catharine Deeds, DNP, AGACNP
• Naomi J Deeds
• Amy M Deeley, MD
• Caroline Frances Deeley
• Daniel Lee Deem, RPH

• Non-emergency Medical Transport (VAN) in Louisville, KY
• Providers in Louisville, KY by specialty
• Non-emergency Medical Transport (VAN) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.