Provider Demographics
NPI:1578932497
Name:ON SCENE MEDICAL SERVICES, P.C.
Entity Type:Organization
Organization Name:ON SCENE MEDICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREAS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BITTERLICH
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C, MS
Authorized Official - Phone:509-581-0073
Mailing Address - Street 1:7511 W ARROWHEAD AVE STE G
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-1179
Mailing Address - Country:US
Mailing Address - Phone:509-420-5225
Mailing Address - Fax:509-420-5226
Practice Address - Street 1:7511 W ARROWHEAD AVE STE G
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-1179
Practice Address - Country:US
Practice Address - Phone:509-420-5225
Practice Address - Fax:509-420-5226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA60309659261QE0002X, 261QR0200X, 291U00000X
WAPA 60309659261QP2300X, 261QU0200X, 261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No291U00000XLaboratoriesClinical Medical Laboratory