Platinum EMS Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000461 Issued in TX

Legal business name

PLATINUM EMS INC

Practice address

12660 Stafford Rd
Suite 416
Stafford, TX 77477-3560

Phone

(832) 542-0941

Fax

(713) 771-5081

NPI assigned

Jun 14, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Mark Omezi

Title

President

Phone

(832) 542-0941

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1699096636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12660 STAFFORD RD",
            "address_2": "SUITE 416",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773560",
            "telephone_number": "832-542-0941",
            "fax_number": "713-771-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12660 STAFFORD RD",
            "address_2": "SUITE 416",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773560",
            "telephone_number": "832-542-0941",
            "fax_number": "713-771-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "OMEZI",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-542-0941",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DEPARTMENT OF STATE HEALTH SERVICES",
            "identifier": "1000461",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Stafford, TX
• Providers in Stafford, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.