DERECK M PRISTAS


Address: 1784 S Metro Pkwy, Centerville, OH 45459-2520
Phone: 9377360911

DERECK M PRISTAS (NPI# 1255686358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255686358
Entity Type Individual
Full Name DERECK M PRISTAS
Practice Address 1784 S Metro Pkwy
Centerville
OH 45459-2520
Practice Telephone 9377360911
Practice Fax Number 8555632074
Enumeration Date 2012-07-16
Last Update Date 2012-07-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 146L00000X Emergency Medical Technician, Paramedic 0116019 OH Emergency Medical Service Providers

Office Location

Street Address 1784 S METRO PKWY
City CENTERVILLE
State OH
Zip Code 45459-2520

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1427360080 Tonia S Campbell Physical Therapist 1235 E. Alex Bell Road, Centerville, OH 45459 2010-07-11
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Taxonomy Information

Taxonomy Code 146L00000X
Grouping Emergency Medical Service Providers
Classification Emergency Medical Technician, Paramedic

Taxonomy Definition

An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417126822 Donald Ray Meade Emergency Medical Technician, Paramedic 2281 Buford Street, Centerville, MO 63633 2008-02-29

Providers in the same taxonomy and state

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1912338203 Patricia Martin Emergency Medical Technician, Paramedic 18103 Canterbury Rd, Cleveland, OH 44119-1642 2013-12-11
1396085627 Jeremy Joseph Lucin Emergency Medical Technician, Paramedic 2829 Minerva Lake Rd, Columbus, OH 43231-4820 2013-02-23
1710237193 Holly Ann Caswell Emergency Medical Technician, Paramedic 1524 Lander Rd, Mayfield Heights, OH 44124 2012-09-13
1861605818 Windham Township Trustees Emergency Medical Technician, Paramedic 9621 E Center St, Windham, OH 44288-1010 2007-05-07
1306995626 Vinton Co Emergency Medical Technician, Paramedic 31931 Sr 93 North, Mcarthur, OH 45651 2007-01-09
1871657551 St. Johns Volunteer Fire & Rescue Department Inc. Emergency Medical Technician, Paramedic 13860 Walnut Street, Saint Johns, OH 45884-0194 2006-12-20
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1538166400 Bkp Ambulance District Emergency Medical Technician, Paramedic 439 S Main St, Kenton, OH 43326-1946 2005-07-06
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Competitor

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City CENTERVILLE
Zip Code 45459

Improve Information

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Dataset Information

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.

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