Metropolitan Area EMS Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

METROPOLITAN AREA EMS AUTHORITY

Doing business as

MedStar Mobile Healthcare

Practice address

2900 Alta Mere Dr
Fort Worth, TX 76116

Phone

(817) 923-3700

Fax

(817) 632-0537

NPI assigned

Jun 8, 2005

Last updated

Mar 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth J. Simpson, J.D. NRP

Title

Ceo

Phone

(817) 923-3700

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MedStar Mobile Healthcare Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1710981774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 ALTA MERE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761164115",
            "telephone_number": "817-923-3700",
            "fax_number": "817-632-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 ALTA MERE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76116",
            "telephone_number": "817-923-3700",
            "fax_number": "817-632-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN AREA EMS AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-923-3700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "J.D. NRP"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "220062",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088220101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swagerty@medstar911.org",
            "affiliation": "N",
            "endpointDescription": "swagerty@medstar911.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2900 Alta Mere Dr",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MedStar Mobile Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedStar Mobile Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Land Ambulance in Texas

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