Pebble Township

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

PEBBLE TOWNSHIP

Practice address

330 Carl Penn Rd
Waverly, OH 45690-9101

Phone

(740) 947-7000

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Thomas David Oyer II, PARAMEDIC

Title

Captain

Phone

(740) 947-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1760185888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 CARL PENN RD",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909101",
            "telephone_number": "740-947-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEBBLE TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "OYER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "740-947-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Andrew Painter
• Katie Pariscoff, CMS/QMHS
• Kayla Ann Parker
• Mike Pass
• Manan Shanabhai Patel, RPH
• April Pederson
• Tracy L Pederson, LCDCIII, SWA
• Ali N Penn, CNP
• Ashley Taylor Pennington, CDCA, QMHS
• Paula Perkins

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.