Marietta Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

920507 Issued in OH

Legal business name

MARIETTA AMBULANCE SERVICE

Practice address

101 Putnam St
Marietta, OH 45750-2924

Phone

(740) 516-4404

Fax

(304) 424-4858

NPI assigned

Apr 3, 2009

Last updated

Apr 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roger Dale Anderson, M.D.NPI 1689676264

Title

President

Phone

(740) 516-4404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roger D Anderson, MD

  • Infectious Disease Physician
  • Marietta, OH
  • NPI 1689676264
  Authorized official Same address or phone

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1831331917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PUTNAM ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502924",
            "telephone_number": "740-516-4404",
            "fax_number": "304-424-4858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PUTNAM ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502924",
            "telephone_number": "740-516-4404",
            "fax_number": "304-424-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-516-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "920507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0224788",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary R Manning, LSW
• Mary Alice Manning, LSW
• Sarah A Manspeaker, ATC
• Maran, Inc.
• Anna Marcel de Hermanas, LSW, LPCC
• Marietta Ambulance Service LTD
• Marietta Anesthesia Care, Inc.
• Marietta Area Health Inc (Harmar Place Rehabilitation and Extended Care)
• Marietta Care, LLC (Arbors at Marietta)
• Marietta City School District

• Land Ambulance in Marietta, OH
• Providers in Marietta, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.