Emergency Transport Associates Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

04295 Issued in PA

Legal business name

EMERGENCY TRANSPORT ASSOCIATES INC

Practice address

111 S 11TH St
Suite 2130
Philadelphia, PA 19107-4824

Phone

(215) 955-2700

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brian Sweeney

Title

Vice President, Clinical / Support

Phone

(215) 955-7937

Specialties & licenses 1

Addresses

Other identifiers 13

Other names 1

• JeffSTAT Doing business as

Locations

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1700814878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500-51695",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191780001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "SUITE 2130",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY TRANSPORT ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT, CLINICAL / SUPPORT",
        "authorized_official_telephone_number": "215-955-7937",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "04295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE",
            "identifier": "AN94696220002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE",
            "identifier": "0000174000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000036041",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8276307",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE",
            "identifier": "0173974101",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007573720003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE",
            "identifier": "1058452",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE/AMBULANC",
            "identifier": "0132431",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE",
            "identifier": "07906",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE",
            "identifier": "214993",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A1128283",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMBULANCE",
            "identifier": "0923304",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JeffSTAT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stephen Emerson, MD
• Christopher Lloyd Emery, MD
• Elizabeth Emery, EDD,RD

• Land Ambulance in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Land Ambulance in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.