City of Painesville Ohio Dept

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

020416200 Issued in OH

Legal business name

CITY OF PAINESVILLE OHIO DEPT

Practice address

28 Mentor Ave
Painesville, OH 44077-3202

Phone

(440) 392-5849

NPI assigned

Aug 17, 2005

Organization subpart

No

Name

Thomas Hummel

Title

Chief

Phone

(440) 392-5849

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in OH

Locations

• Painesville Fire Department Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2024.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1922090810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MENTOR AVE",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773202",
            "telephone_number": "440-392-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PAINESVILLE OHIO DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "HUMMEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "440-392-5849"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "020416200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2383719",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000269247",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Painesville Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Kristen Chakraborty, CRNA
• Jessica L Chapman
• Julia Nicole Chase
• Matt Chesebrough
• Matthew Ciotti, AA
• James R Clements, LPCC, LSW, LICDC
• Cleveland Healthcare Group
• Cleveland Healthcare Group, Inc.
• Cleveland Shoulder Institute LLC
• Nicole Marie Clinger

• All providers in Painesville, OH
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.