Medpro LLC

Primary specialty

AmbulanceTaxonomy code 341600000X

License

680122 Issued in OH

Legal business name

MEDPRO LLC

Practice address

251 W Lexington Rd
Eaton, OH 45320-9282

Phone

(937) 336-5586

Fax

(937) 336-5494

NPI assigned

Jan 22, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Gina R. Hatmaker

Title

President/Ceo

Phone

(937) 336-5586

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1942699384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W LEXINGTON RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209282",
            "telephone_number": "937-336-5586",
            "fax_number": "937-336-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W LEXINGTON RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209282",
            "telephone_number": "937-336-5586",
            "fax_number": "937-336-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "HATMAKER",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "937-336-5586",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "680122",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "680122",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "685135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128268",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.