Esubalew Tadesse Amera
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Williamsburg, VA
NPI 1962994616 · NPPES record last updated May 30, 2018
Key facts
- NPI
- 1962994616
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- License
- 901731 (VA)
- Practice address
- 5403 Robinson LN
Williamsburg, VA 23188-2920 - Phone
- (757) 272-6331
- NPI assigned
- May 30, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901731 | VA | MD | Non-emergency Medical Transport (VAN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamsburg Transportation LLC | Non-Emergency Medical Transport (Van) | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 901731 | VA | |
| Non-emergency Medical Transport (VAN) | 343900000X | 901731 | VA | Yes |
Addresses
Primary practice location
5403 Robinson LN
Williamsburg, VA 23188-2920
Mailing address
5403 Robinson LN
Williamsburg, VA 23188-2920
Phone (757) 272-6331
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All providers in Williamsburg, VA · Non-emergency Medical Transport (VAN) in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2018. 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.