West Shore Advanced Life Support Services, Inc.

Primary specialty

ParamedicTaxonomy code 146L00000X

Legal business name

WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC.

Doing business as

WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC.

Practice address

56 Woodbine LN
Danville, PA 17821-8020

Phone

(800) 367-0512

Fax

(717) 972-4753

NPI assigned

Nov 9, 2021

Organization subpart

Yes

Parent organization

WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Cindy L Mull

Title

Director System Credentialing

Phone

(570) 271-6603

Specialties & licenses 2

Addresses

Other names 1

• WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• West Shore Advanced Life Support Services, Inc.

  • Paramedic
  • Danville, PA
  • NPI 1518960749

  O20060412000243

  Same enrollment

Tax ID family

West Shore Advanced Life Support Services Inc2 organizations share this tax ID, including this one

Part of

West Shore Advanced Life Support Services Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• West Shore Advanced Life Support Services, Inc.

  • Paramedic
  • Danville, PA
  • NPI 1518960749
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• West Shore Advanced Life Support Services, Inc.

  • Paramedic
  • Danville, PA
  • NPI 1518960749
  NPPES parent name

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1699431148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "717-763-2108",
            "fax_number": "717-972-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 WOODBINE LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218020",
            "telephone_number": "800-367-0512",
            "fax_number": "717-972-4753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Market Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109373",
            "country_code": "US",
            "telephone_number": "717-763-2108",
            "fax_number": "717-972-4753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC.",
        "enumeration_date": "2021-11-09",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR SYSTEM CREDENTIALING",
        "authorized_official_telephone_number": "570-271-6603"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breanna Marie Wenner, RN
• Aileen Wertz, M.D.
• Jeffrey Wertz, D.O.
• Stephanie Lynn Wesner
• West Shore Advanced Life Support Services, Inc.
• Sara Fang-Jone West, D.O.
• Tyler Raymond West, D.O.
• Jamaica A Westfall-Snyder, MD
• Joshua A Weston, D.O.
• Kris A Wetzel

• Paramedic in Danville, PA
• Providers in Danville, PA by specialty
• Paramedic in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.