Organization Active NPI

Donald Martens & Sons Ambulance Service Inc.

  • Land Ambulance
  • Cleveland, OH
National Provider Identifier
1821091893
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
DONALD MARTENS & SONS AMBULANCE SERVICE INC.
Practice address
10830 Brookpark Rd
Cleveland, OH 44130-1119
Phone
(440) 234-6000
Fax
(440) 234-8371
NPI assigned
May 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Mr. Dean Martens
Title
Owner
Phone
(440) 234-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193400000X SINGLE SPECIALTY GROUP 146L00000X 180022 OH
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

10830 Brookpark Rd
Cleveland, OH 44130-1119

Mailing address

10830 Brookpark Rd
Cleveland, OH 44130-1119
Phone (440) 234-6000

Other identifiers 2

IdentifierTypeStateIssuer
000000155547OtherOHANTHEM
0175993MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050815000018 OH Part B Supplier - Ambulance Service Supplier 4789614389 Practice locations: Cleveland, OH; Columbus, OH; Elyria, OH; Mansfield, OH; Northwood, OH; Tallmadge, OH; West Chester, OH; Westlake, OH…

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
36D0897592Donald Martens & Sons Ambulance10830 Brookpark Rd, Cleveland, OH 44130Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

6951 Southern Blvd
Ste A
Boardman, OH 44512
Phone 4402346001134

10830 Brookpark Rd
Cleveland, OH 44130
Phone (440) 234-6000

11124 Detroit Ave
Cleveland, OH 44102
Phone (440) 234-6000

11210 Detroit Ave
Cleveland, OH 44102
Phone 4402346000100

4791 Roberts Rd
Columbus, OH 43228
Phone 4402346001134

41333 Schadden Rd
Elyria, OH 44035
Phone 4402346001134

1281 S Trimble Rd
Mansfield, OH 44907
Phone 4402346001134

6900 Lake Abrams Dr
Middleburg Heights, OH 44130
Phone (216) 234-6000

3311 Woodville Rd
Northwood, OH 43619
Phone 4402346001134

323 Geneva Ave
Tallmadge, OH 44278
Phone 4402346001134

9466 Meridian Way
West Chester, OH 45069
Phone 4402346001134

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1821091893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10830 BROOKPARK RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441301119",
            "telephone_number": "440-234-6000",
            "fax_number": "440-234-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 BROOKPARK RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441301119",
            "telephone_number": "440-234-6000",
            "fax_number": "440-234-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD MARTENS & SONS AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "MARTENS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-234-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "OH",
            "license": "180022",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155547",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175993",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.