Good Shepherd Transport

Primary specialty

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

License

31-583-5 Issued in OH

Legal business name

GOOD SHEPHERD TRANSPORT

Practice address

5720 Gateway
Suite 101
Mason, OH 45040-1891

Phone

(513) 823-2021

Fax

(513) 488-1934

NPI assigned

May 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. John Wallace

Title

Ceo

Phone

(513) 544-7015

Specialties & licenses 1

Addresses

Other names 1

• Good Shepherd Transport LLC Former legal business name

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337385600000",
    "number": "1790045136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 GATEWAY",
            "address_2": "SUITE 101",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401891",
            "telephone_number": "513-823-2021",
            "fax_number": "513-488-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 GATEWAY",
            "address_2": "SUITE 101",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401891",
            "telephone_number": "513-823-2021",
            "fax_number": "513-488-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-19",
        "last_updated": "2012-05-19",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-544-7015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "31-583-5",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Transport LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Mason, OH
• Providers in Mason, OH by specialty
• Non-emergency Medical Transport (VAN) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2012; 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.