Plymouth Township Trustees

Primary specialty

AmbulanceTaxonomy code 341600000X

License

020822300 Issued in OH

Legal business name

PLYMOUTH TOWNSHIP TRUSTEES

Practice address

1001 Plymouth Road
Ashtabula, OH 44004-9150

Phone

(440) 993-4350

Fax

(440) 992-9406

NPI assigned

Dec 26, 2006

Organization subpart

Yes

Parent organization

PLYMOUTH TOWNSHIP TRUSTEESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maryann Stevenson

Title

Fiscal Officer

Phone

(440) 993-4350

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• PLYMOUTH TOWNSHIP FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Part of

Plymouth Vol Fire Res

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1942365481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PLYMOUTH ROAD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049150",
            "telephone_number": "440-993-4350",
            "fax_number": "440-992-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PLYMOUTH ROAD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440049150",
            "telephone_number": "440-993-4350",
            "fax_number": "440-992-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYMOUTH TOWNSHIP TRUSTEES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLYMOUTH TOWNSHIP TRUSTEES",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "440-993-4350"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "020822300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232984",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000156045",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590010165",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PLYMOUTH TOWNSHIP FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carlen Pittman, CDCA
• Irene Piwtorak
• Kathleen Anne Pizel, R.N.B.C
• Platinum 1 Home Healthcare Services LLC.
• Renee Platt, LDO
• Amy Pohl, RN
• Lisa Lynn Polch
• Candice Pollard-Reed, CRNP
• Jason Blake Poole
• John Posch, MD

• Ambulance in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.