MAC SHOL (NPI# 1619462199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619462199 |
| Entity Type | Individual |
| Full Name | MAC SHOL |
| Practice Address |
515 Pond St Syracuse NY 13208-2117 |
| Practice Telephone | 3156405457 |
| Mailing Telephone | 3156405457 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 347E00000X | Transportation Broker | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NON EMERGENCY MEDICAID TRANSPORT | 824371046 | 01 |
| Street Address |
515 POND ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13208-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740736040 | M&a Mobilityllc | Non-emergency Medical Transport (VAN) | 1611 Lodi St, Syracuse, NY 13208 | 2016-08-28 |
| 1053655472 | Navid Rashidi Keikanloo | Dentist | 2800 Court St, Syracuse, NY 13208 | 2012-11-26 |
| 1801163399 | Kathleen Ann Troicke | Registered Nurse | 923 North Mcbride Street, Cathedral Academy At Pompei School, Syracuse, NY 13208 | 2011-11-28 |
| 1194016469 | Sharon Walsh Costello | Registered Nurse | 110 Second North Street, Apt 17, Syracuse, NY 13208 | 2011-04-21 |
| 1396058749 | Rebecca Lynn Martin | Licensed Practical Nurse | 102 Hamden Drive, Syracuse, NY 13208 | 2010-07-14 |
| 1730358045 | Tiffany Mckinney | Technician/Technologist | 2901 Court Street, Eyecare of Cny, Syracuse, NY 13208 | 2008-02-21 |
| 1871794594 | Edward Louis Defuria | Dentist | 2800 Court Street, Syracuse, NY 13208 | 2007-05-30 |
| 1912092354 | Karen Ev Fallon | Physical Therapist | 1603 Court Street, Syracuse, NY 13208 | 2006-10-03 |
| 1245346147 | Christian Haglund Woodhead | Dentist | 801 N. Salina St., Syracuse, NY 13208 | 2006-08-22 |
| 1619994167 | Judith Ann Falk | Social Worker | 1118 Court St, Syracuse, NY 13208 | 2006-07-17 |
| Find all providers in zip 13208 | ||||
| Taxonomy Code | 347E00000X |
| Grouping | Transportation Services |
| Classification | Transportation Broker |
| A public or private organization or business contracted to arrange non-emergency medical transportation services, including appropriate ancillary services, e.g., lodging. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821643545 | Osman Shoble | Transportation Broker | 1000 Park St Apt 1r, Syracuse, NY 13208-2728 | 2019-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235756859 | Vicki Elizabeth Pascucci | Transportation Broker | 324 1/2 S Union St, Olean, NY 14760-3616 | 2020-06-30 |
| 1821612680 | Jetset Transportation Corp | Transportation Broker | 11835 Queens Blvd Ste 400405, Forest Hills, NY 11375-7200 | 2020-06-07 |
| 1649818741 | Paxxia Luxury Corp | Transportation Broker | 541 Kingston Ave, Brooklyn, NY 11225-4647 | 2019-12-19 |
| 1649811977 | Liberty Car Service, Inc | Transportation Broker | 689 Seneca Ave, Ridgewood, NY 11385-2852 | 2019-10-08 |
| 1861043820 | Latino Executive, Inc | Transportation Broker | 10920 Corona Ave Ste 1, Corona, NY 11368-3943 | 2019-09-21 |
| 1205486834 | Super Fast Limousine | Transportation Broker | 4405 5th Ave, Brooklyn, NY 11220-6838 | 2019-09-16 |
| 1396395158 | Bell Car Service, Inc. | Transportation Broker | 405 51st St, Brooklyn, NY 11220-1914 | 2019-09-13 |
| 1760030126 | Isi Technology Inc | Transportation Broker | 4476 Main St Ste 201, Snyder, NY 14226-4465 | 2019-08-29 |
| 1831743186 | Ilovenewyorktransportation | Transportation Broker | 47 Riverdale Ave Apt A620, Yonkers, NY 10701-3661 | 2019-07-25 |
| 1144882440 | Paris Bellfield | Transportation Broker | 486 Oconnor Rd, Oswego, NY 13126-5859 | 2019-07-08 |
| 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.