Cory L Anderson Sr.
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Austintown, OH
NPI 1922869841 · NPPES record last updated Jan 18, 2024
Key facts
- NPI
- 1922869841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Practice address
- 4103 Woodmere Dr
Austintown, OH 44515-3516 - Phone
- (330) 651-3150
- NPI assigned
- Jan 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lacey'S & Amani'S Way L.L.L. | Non-Emergency Medical Transport (Van) | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
4103 Woodmere Dr
Austintown, OH 44515-3516
Mailing address
4103 Woodmere Dr
Austintown, OH 44515-3516
Phone (330) 651-3150
Other providers in Austintown, OH
- Christina Johanna Ambrose
- Amedco Ohio PLLC
- Candy L Ammon
- Constance Amstutz
- Michelle Anania
- Heather Anderson
- Jesse Ela Anderson
- Taylor Anderson
- Tiffany Denise Anderson
- Ankle and Foot Care Centers
All providers in Austintown, OH · Non-emergency Medical Transport (VAN) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.