Organization Active NPI

Plum Emergency Medical Services, Inc

  • Land Ambulance
  • Pittsburgh, PA
National Provider Identifier
1801862958
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
05151 Issued in PA
Legal business name
PLUM EMERGENCY MEDICAL SERVICES, INC
Practice address
4545 New Texas Rd
Pittsburgh, PA 15239-1136
Phone
(412) 793-4801
Fax
(412) 793-4837
NPI assigned
Feb 28, 2006
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Mr. Thomas B. Izydore
Title
Operations Manager
Phone
(412) 793-4801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 05151 PA Primary

Addresses

Primary practice location

4545 New Texas Rd
Pittsburgh, PA 15239-1136

Mailing address

4545 New Texas Rd
Pittsburgh, PA 15239-1136
Phone (412) 793-4801

Other identifiers 2

IdentifierTypeStateIssuer
0012354400002MedicaidPA
590006402OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120829000065 PA Part B Supplier - Ambulance Service Supplier 8426205329 Practice locations: Pittsburgh, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1100863Plum Emergency Medical Services Inc4545 New Texas Road, Pittsburgh, PA 15239Certificate of waiverJun 14, 2027

National Provider Directory

National Provider Directory

Locations

4545 New Texas Rd
Pittsburgh, PA 15239
Phone (412) 733-2445

1990 Mike Thomas Way
Pittsburgh, PA 15239
Phone (412) 793-4801

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1801862958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 NEW TEXAS RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152391136",
            "telephone_number": "412-793-4801",
            "fax_number": "412-793-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 NEW TEXAS RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152391136",
            "telephone_number": "412-793-4801",
            "fax_number": "412-793-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLUM EMERGENCY MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "IZYDORE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "412-793-4801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "PA",
            "license": "05151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012354400002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590006402",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.