Active NPI
Samuel Myers
- Basic Emergency Medical Technician
- Shippensburg, PA
National Provider Identifier
1841739430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- 103401
- Practice address
- 153 Baldwin Blvd
Shippensburg, PA 17257-9606 - Phone
- (717) 552-5228
- Fax
- (717) 267-8316
- NPI assigned
- Feb 16, 2017
- Last updated
- Feb 16, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 103401 | PA | Primary |
Addresses
Primary practice location
153 Baldwin Blvd
Shippensburg, PA 17257-9606
Mailing address
153 Baldwin Blvd
Shippensburg, PA 17257-9606
Phone (717) 552-5228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103401 | Other | PA | PA EMT NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103401 | PA | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1841739430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 BALDWIN BLVD",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172579606",
"telephone_number": "717-552-5228",
"fax_number": "717-267-8316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 BALDWIN BLVD",
"city": "SHIPPENSBURG",
"state": "PA",
"postal_code": "172579606",
"telephone_number": "717-552-5228",
"fax_number": "717-267-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "SAMUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-16",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "PA",
"license": "103401",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA EMT NUMBER",
"identifier": "103401",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shippensburg, PA
- MH Health Care Services, PC
- Tanya Louise Miller, MS, LAT, ATC, CES
- Jason S. Misel, PA-C
- Michael Delbert Morehouse, D.M.D
- Geoffrey Mutisya Muthami, CRNP
- Myeyedr Optometry of Pennsylvania, LLC (MyEyeDr.)
- Lory B. Naugle, LPC, NCC, DCC
- New Visions of South Central PA, Inc. (New Visions, Inc.)
- Gabriella Lee Nye, DPT
- Dennis James Obrien, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.