MED GROUP TRANSPORTATION LLC (NPI# 1184866253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184866253 |
| Entity Type | Organization |
| Organization Name | MED GROUP TRANSPORTATION LLC |
| Practice Address |
11412 N Port Washington Rd Ste 215 Mequon WI 53092-3450 |
| Practice Telephone | 4147550500 |
| Practice Fax Number | 4147551763 |
| Mailing Telephone | 4147550500 |
| Mailing Fax Number | 4147551763 |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2009-04-03 |
| Authorized Official Name | MRS. DARIKO MEKVABISHVILI (PRESIDENT) |
| Authorized Official Telephone | 4147550500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 376ZYF | WI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 100002648 | 05 |
| Street Address |
11412 N PORT WASHINGTON RD STE 215 |
| City | MEQUON |
| State | WI |
| Zip Code | 53092-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417320607 | Atlantic Ocean LLC | Non-emergency Medical Transport (VAN) | 1228 W Baldwin Ct, Mequon, WI 53092-5909 | 2015-11-10 |
| 1376910828 | Best Town Transportation | Non-emergency Medical Transport (VAN) | 8687 W Freistadt Rd, Mequon, WI 53097-2739 | 2015-08-31 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1174703540 | Royal Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 13760 N Bonniwell Ct, Mequon, WI 53097-1509 | 2007-11-14 |
| 1790960169 | B & H Transportation | Non-emergency Medical Transport (VAN) | 1575 W Liebau Rd, Mequon, WI 53092-2620 | 2008-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454325 | Richwood Enterprises LLC Dba Richwood Transport | Non-emergency Medical Transport (VAN) | 2564 Branch St Ste B10, Middleton, WI 53562-2850 | 2020-10-13 |
| 1861099897 | Seng Lor | Non-emergency Medical Transport (VAN) | 2303 Moholt Dr, Eau Claire, WI 54703-2460 | 2020-10-02 |
| 1568077022 | Shatona Moore | Non-emergency Medical Transport (VAN) | 5220 N 107th St, Milwaukee, WI 53225-3124 | 2020-09-11 |
| 1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
| 1629681663 | Taylor Transport Care LLC | Non-emergency Medical Transport (VAN) | 4433 N 50th St, Milwaukee, WI 53218-5704 | 2020-08-28 |
| 1548878382 | American Phoenix Transportation LLC | Non-emergency Medical Transport (VAN) | 8544 9 Mile Creek Rd, Fall Creek, WI 54742-5306 | 2020-07-17 |
| 1497371041 | Mobility Transport LLC | Non-emergency Medical Transport (VAN) | 7114 W Mill Rd, Milwaukee, WI 53218-1229 | 2020-06-19 |
| 1144856964 | Donnell Marcellus Rushing | Non-emergency Medical Transport (VAN) | 4208 N 52nd St, Milwaukee, WI 53216-1338 | 2020-03-13 |
| 1184259996 | M&l Transportation, LLC | Non-emergency Medical Transport (VAN) | 8700 W Beloit Rd, Milwaukee, WI 53227-3714 | 2020-03-12 |
| 1962037424 | Glory Transportation Services LLC | Non-emergency Medical Transport (VAN) | 8701 W Greenwood Ter, Milwaukee, WI 53224-4019 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.