Med Ride Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MED RIDE TRANSPORT LLC

Practice address

21 Old Hickory Blvd
Jackson, TN 38305

Phone

(731) 431-1684

NPI assigned

Oct 11, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Fahed Kamal Ikbarieh

Title

Owner

Phone

(731) 431-1684

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1962283309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WIND TREE CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052974",
            "telephone_number": "731-431-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 OLD HICKORY BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-431-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED RIDE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "IKBARIEH",
        "authorized_official_first_name": "FAHED",
        "authorized_official_middle_name": "KAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-431-1684",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany McSwain, DO
• Angela White McWherter, PT
• Dentaisha Meadows, LPC
• Bridgette Criswell Meales, CRNA
• Leslie D Meals, A.P.R.N.
• Med RX Pharmacy PC
• Milton O Medeiros, MD
• Medicab Transportation LLC
• Medical Center Anesthesia Inc.
• Medical Center Home Health, LLC

• Non-emergency Medical Transport (VAN) in Jackson, TN
• Providers in Jackson, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.