Active NPI
David B Schramm, IDMT
- Basic Emergency Medical Technician
- Scott Afb, IL
National Provider Identifier
1861629982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- B1432738
- Practice address
- 2400 East Dr
932ND Medical Squadron
Scott Afb, IL 62225-5408 - Phone
- (618) 229-7221
- NPI assigned
- Jun 16, 2009
- Sex
- Male
- Sole proprietor
- No
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 | B1432738 | Primary |
Addresses
Primary practice location
2400 East Dr
932ND Medical Squadron
Scott Afb, IL 62225-5408
Mailing address
715 Kessler Boulevard East Dr
Indianapolis, IN 46220-2609
Phone (317) 910-1259
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1861629982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 KESSLER BOULEVARD EAST DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462202609",
"telephone_number": "317-910-1259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 EAST DR",
"address_2": "932ND MEDICAL SQUADRON",
"city": "SCOTT AFB",
"state": "IL",
"postal_code": "622255408",
"telephone_number": "618-229-7221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHRAMM",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "IDMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-16",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": "B1432738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scott Afb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.