Active NPI
Garrett Medical Transport, Inc.
- Land Ambulance
- Oakland, MD
National Provider Identifier
1699740415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 40
- Legal business name
- GARRETT MEDICAL TRANSPORT, INC.
- Practice address
- 103 Shenandoah Ave
Oakland, MD 21550-2913 - Phone
- (301) 334-6405
- Fax
- (301) 334-6405
- NPI assigned
- Feb 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Willmon
- Title
- President
- Phone
- (301) 334-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 40 | MD | Primary |
Addresses
Primary practice location
103 Shenandoah Ave
Oakland, MD 21550-2913
Mailing address
PO Box 728
Oakland, MD 21550-4728
Phone (301) 334-5100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0145222000 | Medicaid | WV | |
| TR36 | Other | BC/MD | |
| 407752100 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
222 N 3rd St
Oakland, MD 21550
Phone (301) 334-7900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Oakland, MD
- NPI 1790704914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320278400000",
"number": "1699740415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 728",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215504728",
"telephone_number": "301-334-5100",
"fax_number": "301-533-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 SHENANDOAH AVE",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215502913",
"telephone_number": "301-334-6405",
"fax_number": "301-334-6405"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARRETT MEDICAL TRANSPORT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-23",
"last_updated": "2011-11-03",
"status": "A",
"authorized_official_last_name": "WILLMON",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-334-5100"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MD",
"license": "40",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0145222000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/MD",
"identifier": "TR36",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407752100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, MD
- Garrett County Partnership for Children and Families, Inc.
- Garrett County Personal Health
- Garrett County Substance Abuse
- Garrett Medical Group, PA
- Garrett Medical Group, PA
- Garrett Orthopedic Physical Therapy & Rehabilitation LLC
- Garrett Orthopedic Physical Therapy & Rehabilitation, LLC
- Garrett Rehab Services, LLC
- Garrett Surgical Group, P.a.
- Garrett Treatment Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.