Active NPI
JCK Medical Transportation
- Non-emergency Medical Transport (VAN)
- Phoenix, AZ
National Provider Identifier
1891411443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- JCK MEDICAL TRANSPORTATION
- Doing business as
- JCK Medical Transportation
- Practice address
- 2550 W Union Hills Dr Ste 350-8934
Phoenix, AZ 85027-5163 - Phone
- (832) 267-8165
- NPI assigned
- Oct 17, 2022
- Organization subpart
- Yes
- Parent organization
- ZUREY GROUP LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Johnson I Korie, MD
- Title
- Ceo
- Phone
- (832) 267-8165
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
2550 W Union Hills Dr Ste 350-8934
Phoenix, AZ 85027-5163
Mailing address
2550 W Union Hills Dr Ste 350-8934
Phoenix, AZ 85027-5163
Phone (832) 267-8165
Other names 1
- JCK Medical Transportation
National Provider Directory
National Provider Directory- Tax ID family
- JCK Medical Transportation
- Part of
- JCK Medical Transportation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Phoenix, AZ
- NPI 1124745146
-
- In Home Supportive Care Agency
- Phoenix, AZ
- NPI 1366166498
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- In Home Supportive Care Agency
- Phoenix, AZ
- NPI 1366166498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665964800000",
"number": "1891411443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 W UNION HILLS DR STE 350-8934",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850275163",
"telephone_number": "832-267-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 W UNION HILLS DR STE 350-8934",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850275163",
"telephone_number": "832-267-8165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JCK MEDICAL TRANSPORTATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ZUREY GROUP LLC",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-15",
"status": "A",
"authorized_official_last_name": "KORIE",
"authorized_official_first_name": "JOHNSON",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "832-267-8165",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JCK Medical Transportation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.