Phoenix Medical Transport LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

PHOENIX MEDICAL TRANSPORT LLC

Practice address

114 N Broadway St
Greenville, OH 45331-2221

Phone

(937) 912-1776

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sergio Leandro Silva, PHD, MBA

Title

President/Ceo

Phone

(937) 912-1776

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1720761919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453310673",
            "telephone_number": "937-912-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N BROADWAY ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453312221",
            "telephone_number": "937-912-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "LEANDRO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-912-1776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, MBA"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Christina Peters
• Veronica Peters, APRN-CNP
• Jonathan Pettitt
• Christina Petty, LISW
• Michelle Marie Phillips, LPCC
• Amber Plessinger-Williams
• Donald W Pohlman, MD
• Mary Elizabeth Pool, LPN
• Premier Community Health
• Craig Ward Prenger

• Ambulance in Greenville, OH
• Providers in Greenville, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.