EAST TEXAS AIR ONE LLC (NPI# 1609374537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609374537 |
| Entity Type | Organization |
| Organization Name | EAST TEXAS AIR ONE LLC |
| Practice Address |
1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 |
| Practice Telephone | 6152963000 |
| Practice Fax Number | 6152966227 |
| Mailing Telephone | 8008114045 |
| Mailing Fax Number | 6152966227 |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-08-09 |
| Authorized Official Name | STEPHEN C PETROVICH (EVP) |
| Authorized Official Telephone | 6152963000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
| Street Address |
1 BURTON HILLS BLVD STE 250 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37215-6195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124508049 | Clayton C. Cummings Dds PC | Dentist | 2405 Crestmoor Road, Nashville, TN 37215 | 2018-08-20 |
| 1881172922 | Elisabeth Quintrell Sweeney | Psychologist | 2209 Abbott Martin Rd, Suite 100, Nashville, TN 37215 | 2018-07-31 |
| 1477031755 | Wolf Counseling, LLC | Psychologist | 2000 Glen Echo Rd Ste 207, Nashville, TN 37215 | 2018-07-30 |
| 1972022036 | Anna Jane Richards | Registered Nurse | 2506 Sharondale Dr, Nashville, TN 37215 | 2017-09-11 |
| 1003203696 | Deborah Mccaghren Taber | Nurse Practitioner | 3910 Woodmont Boulevard, Nashville, TN 37215 | 2015-04-21 |
| 1245639731 | Kelsie Renee Menard | Speech-Language Pathologist | 4206 Stammer Place, Nashville, TN 37215 | 2014-08-20 |
| 1851709117 | Marci Diane Levy | Physician Assistant | 2000 Richard Jones Rd Ste 220, Nashville, TN 37215 | 2014-07-30 |
| 1811301534 | Cari Riker | Dietitian, Registered | 4205 Hillsboro Pike Ste 314, Nashville, TN 37215 | 2014-06-20 |
| 1295152916 | Mindy Maurine Thorp | Registered Nurse | 2000 Glen Echo Road, Suite 111, Nashville, TN 37215 | 2014-03-19 |
| 1245663152 | Joshua Gropper | Dentist | 3824 Bedford Ave, Nashville, TN 37215 | 2013-08-14 |
| Find all providers in zip 37215 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699216762 | Rocky Mountain Holdings, LLC | Ambulance | 603 Hangar Ln, Nashville, TN 37217 | 2017-03-09 |
| 1164029021 | Med-trans Corporation | Ambulance | 2300 Patterson St, Nashville, TN 37203-1538 | 2020-10-05 |
| 1396882205 | Vanderbilt University Medical Center | Ambulance | 1211 Medical Center Drive, Nashville, TN 37232-0004 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265077259 | Air Evac Ems, Inc. | Ambulance | 1401 Diggs Rd Ste B, Paris, TN 38242-7538 | 2019-11-13 |
| 1326681594 | Chc901 LLC | Ambulance | 2565 Horizon Lake Dr Ste 110, Memphis, TN 38133-8113 | 2019-10-21 |
| 1003394933 | Air Evac Ems, Inc. | Ambulance | 4575 Guthrie Hwy, Clarksville, TN 37040-5422 | 2018-08-02 |
| 1497263164 | Care Med Ambulance LLC | Ambulance | 2511 Riverside Dr Ste B5, Chattanooga, TN 37406 | 2018-01-16 |
| 1659887545 | Rocky Mountain Holdings, Lcc | Ambulance | 4570 S Jefferson Ave, Cookeville, TN 38506 | 2017-12-14 |
| 1053824052 | Rocky Mountain Holdings, LLC | Ambulance | 1949 Driggs Road, Paris, TN 38242 | 2017-11-13 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1023551298 | Air Evac Ems, Inc. | Ambulance | 83 W Holley Street Ext, Parsons, TN 38363-4800 | 2016-11-21 |
| 1346792454 | Rocky Mountain Holdings, LLC | Ambulance | 807 William Northern Blvd, Tullahoma, TN 37388-4734 | 2016-10-25 |
| 1891242301 | Air Evac Ems, Inc. | Ambulance | 701 Cc Gurien Dr, Troy, TN 38260-5949 | 2016-09-01 |
| 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.