Organization Active NPI

Medic EMS

  • Land Ambulance
  • Davenport, IA
National Provider Identifier
1801861950
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
2821000 Issued in IA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0208256MedicaidIA
02431OtherIAWELLMARK BC/BS IA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.