Express Medica Trans

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

L15668672 Issued in AZ

Legal business name

EXPRESS MEDICA TRANS

Practice address

3393 N Sand Creek CT
Tucson, AZ 85745-7125

Phone

(520) 419-2055

Fax

(520) 295-2404

NPI assigned

Sep 11, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Anas Awadalla Elazrag

Title

Owner

Phone

(520) 419-2055

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Express Medica Trans2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Express Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Tucson, AZ
  • NPI 1083937429
  NPD tax ID

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1730557380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3393 N SAND CREEK CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857457125",
            "telephone_number": "520-419-2055",
            "fax_number": "520-295-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3393 N SAND CREEK CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857457125",
            "telephone_number": "520-419-2055",
            "fax_number": "520-295-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS MEDICA TRANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "ELAZRAG",
        "authorized_official_first_name": "ANAS",
        "authorized_official_middle_name": "AWADALLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-419-2055",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "L15668672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504385",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon A Ewy, MD
• Excel Physical Therapy
• Excel Psychiatric Care PLLC
• Excel Transportation Services, LLC.
• Exclusive Health LLC
• Express Medical Transportation
• Extended Care Portfolio Multistate Pool Tenant, LLC
• Ernest Paul Eybel III, M.A.
• Eye Associates LTD (Eye Associates of Tucson)
• Eye Associates LTD

• Non-emergency Medical Transport (VAN) in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.