Organization Active NPI

Av Transportation, LLC

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
National Provider Identifier
1669770731
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
AV TRANSPORTATION, LLC
Practice address
4958 N Santa Monica Blvd
Milwaukee, WI 53217-5911
Phone
(414) 967-7999
NPI assigned
Mar 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Mr. Anzhelika Vinokur
Title
President
Phone
(414) 967-7999

Specialties & licenses 1

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

Addresses

Primary practice location

4958 N Santa Monica Blvd
Milwaukee, WI 53217-5911

Mailing address

4958 N Santa Monica Blvd
Milwaukee, WI 53217-5911
Phone (414) 967-7999

Other identifiers 1

IdentifierTypeStateIssuer
100006357MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1669770731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4958 N SANTA MONICA BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175911",
            "telephone_number": "414-967-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4958 N SANTA MONICA BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532175911",
            "telephone_number": "414-967-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AV TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "VINOKUR",
        "authorized_official_first_name": "ANZHELIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-967-7999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100006357",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.