EVERTON MITCHELL JR. (NPI# 1750890711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750890711 |
| Entity Type | Individual |
| Full Name | EVERTON MITCHELL JR. |
| Practice Address |
118 Berger Ave Syracuse NY 13205-1704 |
| Practice Telephone | (917) 645-7990 |
| Mailing Telephone | 9176457990 |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 876870981 | NY | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 822836297 | 05 |
| Street Address |
118 BERGER AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13205-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245714450 | Safe Care Transportation LLC | Non-emergency Medical Transport (VAN) | 118 Berger Ave, Syracuse, NY 13205-1704 | 2018-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710473707 | Michelle E Case | Social Worker | 2610 S Salina St Ste 2, Syracuse, NY 13205 | 2018-07-02 |
| 1104332022 | Gregory Ramsden | Chiropractor | 182 Intrepid Ln Ste B, Syracuse, NY 13205 | 2017-12-15 |
| 1619379286 | Hope for Us Housing, Inc | Home Health | 5957 South Salina St, Syracuse, NY 13205 | 2014-09-25 |
| 1861822116 | Michael Lee Loudner | Registered Nurse | 4842 Broad Rd, Syracuse, NY 13205 | 2013-11-24 |
| 1285987537 | Teeatta Owens | Licensed Practical Nurse | 114 Mcclure Ave, Syracuse, NY 13205 | 2012-10-24 |
| 1891082533 | Kamaloshini Poovalingam | Student in an Organized Health Care Education/Training Program | 211 Lafayette Road, 604, Syracuse, NY 13205 | 2011-07-01 |
| 1730483348 | Kenneth E. Hoogs Md PC | Urology | 100 Intrepid Lane, Syracuse, NY 13205 | 2010-12-23 |
| 1699092361 | Central Park | Nursing Care | 4905 S Salina St., Syracuse, NY 13205 | 2010-04-21 |
| 1215170741 | Toni Ramele Moore | Licensed Practical Nurse | 614 W. Seneca Turnpike, Syracuse, NY 13205 | 2009-04-14 |
| 1851536080 | Shalanda Cherrise Sutton | Licensed Practical Nurse | 228 W. Lafayette Rd, Syracuse, NY 13205 | 2008-12-02 |
| Find all providers in zip 13205 | ||||
| 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 |
|---|---|---|---|---|
| 1780221408 | Mario J Mirra | Non-emergency Medical Transport (VAN) | 127 Pleasantview Ave, Syracuse, NY 13208-3144 | 2019-12-02 |
| 1821551656 | Rtk Transport | Non-emergency Medical Transport (VAN) | 4465 E Genesee St # 166, Syracuse, NY 13214-2229 | 2019-04-09 |
| 1669935664 | Su Pride Taxi | Non-emergency Medical Transport (VAN) | 100 Terraceview Rd, Syracuse, NY 13214-1214 | 2019-04-08 |
| 1447724059 | Express Taxi & Medical Transport, LLC. | Non-emergency Medical Transport (VAN) | 734 N Salina St, Syracuse, NY 13208-2511 | 2019-01-16 |
| 1043721483 | Band Aid Personal Care Service | Non-emergency Medical Transport (VAN) | 4711 S Salina St, Syracuse, NY 13205-2746 | 2017-10-12 |
| 1275042897 | Cny Somali Community Inc | Non-emergency Medical Transport (VAN) | 804 N Salina St, Syracuse, NY 13208-2513 | 2017-09-26 |
| 1972034429 | S&r Transportation Services,inc | Non-emergency Medical Transport (VAN) | 335 Riegel St # A, Syracuse, NY 13206-3545 | 2017-03-27 |
| 1770021263 | K-n-k Transport LLC | Non-emergency Medical Transport (VAN) | 403 Schaffer Ave, Syracuse, NY 13206-1530 | 2017-02-06 |
| 1922550458 | Abundant Care Medical Transportation Dba Metro Transportation | Non-emergency Medical Transport (VAN) | 324 Lodi St, Syracuse, NY 13203-2428 | 2016-11-01 |
| 1740736040 | M&a Mobilityllc | Non-emergency Medical Transport (VAN) | 1611 Lodi St, Syracuse, NY 13208 | 2016-08-28 |
| Find all providers in SYRACUSE | ||||
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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.