Active NPI
Medic EMS
- Land Ambulance
- Davenport, IA
National Provider Identifier
1801861950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 2821000
- Legal business name
- MEDIC EMS
- Practice address
- 1204 E High St
Davenport, IA 52803-2436 - Phone
- (563) 323-6806
- Fax
- (563) 323-1705
- NPI assigned
- Feb 22, 2006
- Last updated
- Jan 28, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard L Vermeer, D.O.
- Title
- Medical Director
- Phone
- (563) 210-0801
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 2821000 | IA | Primary |
| Land Ambulance | 3416L0300X | 012670 | IL |
Addresses
Primary practice location
1204 E High St
Davenport, IA 52803-2436
Mailing address
1204 E High St
Davenport, IA 52803-2436
Phone (563) 323-6806
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0208256 | Medicaid | IA | |
| 02431 | Other | IA | WELLMARK BC/BS IA |
National Provider Directory
National Provider DirectoryLocations
1933 Spruce Hills Dr
Bettendorf, IA 52722
Phone (563) 323-6806
606 W Mayne St
Blue Grass, IA 52726
Phone (563) 323-6806
1040 W 4th St
Davenport, IA 52802
Phone (563) 323-6806
1100 E 46th St
Davenport, IA 52807
Phone (563) 323-1000
1204 E High St
Davenport, IA 52803
Phone (563) 323-6806
100 S 14th Ave
Eldridge, IA 52748
Phone (563) 323-6806
107 N Cody Rd
LeClaire, IA 52753
Phone (563) 323-6806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359331200000",
"number": "1801861950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 E HIGH ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032436",
"telephone_number": "563-323-6806",
"fax_number": "563-323-1705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 E HIGH ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032436",
"telephone_number": "563-323-6806",
"fax_number": "563-323-1705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDIC EMS",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-22",
"last_updated": "2013-01-28",
"status": "A",
"authorized_official_last_name": "VERMEER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "563-210-0801",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IA",
"license": "2821000",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "012670",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0208256",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BC/BS IA",
"identifier": "02431",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.