NPIMap

Organization Active NPI

Northstar EMS Inc

Doing business as NorthStar Paramedic Svcs-St Clair

  • Land Ambulance
  • Birmingham, AL
National Provider Identifier
1720052244
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
566 Issued in AL
Legal business name
NORTHSTAR EMS INC
Doing business as
NorthStar Paramedic Svcs-St Clair
Practice address
128 W Park Dr
Birmingham, AL 35211-4469
Phone
(205) 424-1909
Fax
(205) 426-7911
NPI assigned
Feb 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Mr. Jon Anthony Smelley
Title
President
Phone
(205) 345-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 566 AL Primary

Addresses

Primary practice location

128 W Park Dr
Birmingham, AL 35211-4469

Mailing address

PO Box 2788
Tuscaloosa, AL 35403-2788
Phone (205) 752-5866

Other identifiers 2

IdentifierTypeStateIssuer
000051901MedicaidAL
51051901OtherBLUE CROSS

Other names 1

  • NorthStar Paramedic Svcs-St Clair Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040105000334 AL Part B Supplier - Ambulance Service Supplier 6305745837 9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tuscaloosa, AL; Winfield, AL; Fayette, AL; Talladega, AL; Bessemer, AL

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1720052244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2788",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354032788",
            "telephone_number": "205-752-5866",
            "fax_number": "205-345-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W PARK DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352114469",
            "telephone_number": "205-424-1909",
            "fax_number": "205-426-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "SMELLEY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-345-0911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000051901",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51051901",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthStar Paramedic Svcs-St Clair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.