PUCKETT MED VAN LLC (NPI# 1487080149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487080149 |
| Entity Type | Organization |
| Organization Name | PUCKETT MED VAN LLC |
| Practice Address |
5603 Ringgold Road East Ridge TN 37412 |
| Mailing Address |
3760 Tramore Pointe Pkwy Austell GA 30106 |
| Practice Telephone | 4238944407 |
| Practice Fax Number | 7709435150 |
| Mailing Telephone | 7702225045 |
| Mailing Fax Number | 7709435150 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |
| Authorized Official Name | MR. STEVEN K. PUCKETT (MEMBER) |
| Authorized Official Telephone | 7702225045 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
5603 RINGGOLD ROAD |
| City | EAST RIDGE |
| State | TN |
| Zip Code | 37412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316482458 | East Ridge Snf Operations, LLC | Skilled Nursing Facility | 1502 Mcdonald Rd., East Ridge, TN 37412 | 2016-12-28 |
| 1538420229 | Nathan Hartgrove | Internal Medicine | 961 Spring Creek Rd Ste 300, Chattanooga, TN 37412 | 2012-05-30 |
| 1770869042 | Jonathan Bailey Barnett I | Pharmacist | 5301 Ringold Rd, East Ridge, TN 37412 | 2011-10-31 |
| 1932482791 | Ronald P Leonard | Pharmacist | 7354 East Brainerd Rd, Chattanooga, TN 37412 | 2011-09-27 |
| 1164758561 | Zoilus, Inc | Home Health | 912 Belvoir Hills Circle, Chattanooga, TN 37412 | 2009-10-20 |
| 1093935157 | Alan L Crisman | Dentist | 1421 Armour Street, Chattanooga, TN 37412 | 2007-04-30 |
| 1700949989 | Keith Brian Sparkman | Optometrist | 1013 Spring Creek Rd, Chattanooga, TN 37412 | 2006-12-18 |
| 1174617161 | Shahul H Majeed | Obstetrics & Gynecology | 1012 Spring Creek Road, Chattanooga, TN 37412 | 2006-10-03 |
| 1356434070 | Mckinley Snipes Lundy Sr. | Preventive Medicine | 931 Spring Creek Road, Suite 200, Chattanooga, TN 37412 | 2006-10-02 |
| 1063479350 | Dennis Luke Bizzoco | Podiatrist | 1007 Spring Creek Rd, Chattanooga, TN 37412 | 2006-04-28 |
| Find all providers in zip 37412 | ||||
| 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 |
|---|---|---|---|---|
| 1679872113 | Back and Forth Transportation | Non-emergency Medical Transport (VAN) | 1136 Mcbrien Rd, East Ridge, TN 37412-3238 | 2011-03-23 |
| 1164052106 | Frazier Transportation LLC | Non-emergency Medical Transport (VAN) | 185 Cecil Ln, East Ridge, TN 37412-2211 | 2020-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021010 | Trinika Michelle Meredith | Non-emergency Medical Transport (VAN) | 4225 Ambrose Rd, Memphis, TN 38116-6772 | 2020-10-21 |
| 1215536172 | Community Rescue Medical Trans, LLC | Non-emergency Medical Transport (VAN) | 3340 Poplar Ave Ste 133, Memphis, TN 38111-4638 | 2020-10-21 |
| 1023625837 | Gg Transportation LLC | Non-emergency Medical Transport (VAN) | 4443 Shawhan Rd, Chattanooga, TN 37411-1716 | 2020-09-25 |
| 1528674983 | George Beshay | Non-emergency Medical Transport (VAN) | 4814 Old Hickory Blvd, Hermitage, TN 37076-2502 | 2020-09-21 |
| 1598371569 | Alisha N Hudson | Non-emergency Medical Transport (VAN) | 517 Brown Rd, Chattanooga, TN 37421-3916 | 2020-09-16 |
| 1427662790 | Reliable Transports LLC | Non-emergency Medical Transport (VAN) | 3078 S Glengarry Rd, Memphis, TN 38128-5138 | 2020-09-03 |
| 1770197949 | Ali H Nazir | Non-emergency Medical Transport (VAN) | 710 Huntington Pkwy, Nashville, TN 37211-5919 | 2020-09-03 |
| 1972117604 | Lacey Runit, Inc | Non-emergency Medical Transport (VAN) | 3759 Lakeview Rd, Memphis, TN 38116-3919 | 2020-09-01 |
| 1932713617 | Dung Nguyen | Non-emergency Medical Transport (VAN) | 601 S Mendenhall Rd, Memphis, TN 38117-4252 | 2020-09-01 |
| 1669084232 | Black Diamond Transportation, LLC | Non-emergency Medical Transport (VAN) | 1207 Silvery Glade, Smyrna, TN 37167-2687 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | EAST RIDGE |
| Zip Code | 37412 |
Please comment or provide details below to improve the information on PUCKETT MED VAN LLC.
| 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.