MID AMERICA EMERGENCY MEDICINE (NPI# 1063960870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063960870 |
| Entity Type | Organization |
| Organization Name | MID AMERICA EMERGENCY MEDICINE |
| Practice Address |
700 N First St Springfield IL 62781-0001 |
| Mailing Address |
300 N Park Ave Apt A Springfield IL 62702-6401 |
| Practice Telephone | 2177883156 |
| Practice Fax Number | 2177886459 |
| Mailing Telephone | 6185301950 |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |
| Authorized Official Name | MISS ELLEN O'BRIEN ATWOOD (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 6185301950 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 085005966 | IL | Hospitals |
| Street Address |
700 N FIRST ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62781-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145747 | Justin Neil Henry | Hospitalist | 701 N 1st St Rm B146, Springfield, IL 62781 | 2010-05-21 |
| 1457464208 | Edward J Ryan Poje | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| 1649285453 | Sanjai Nagendra | Pathology | 701 N First Street, Springfield, IL 62781 | 2006-07-30 |
| 1770518706 | Daniel L Stanton Jr. | Radiology | 701 N. First St, Springfield, IL 62781 | 2006-07-11 |
| 1992187934 | Kelli Levek | Emergency Medicine | 701 N 1st St, Springfield, IL 62781 | 2015-06-26 |
| 1386048502 | Bhadreshkumar R. Mandani | Family Medicine | 701 N 1st St, Springfield, IL 62781 | 2014-10-17 |
| 1801215231 | Robert Matthew Tennill | Emergency Medicine | 701 N 1st St, Springfield, IL 62781 | 2014-04-14 |
| 1851739684 | Mateusz Serafin | Hospitalist | 701 N 1st St, Springfield, IL 62781 | 2013-06-14 |
| 1538506357 | Sapna Siddharth | Internal Medicine | 701 N 1st St, Springfield, IL 62781 | 2013-06-03 |
| 1336586734 | Rakshit Ramanath Shetty | Internal Medicine | 701 N 1st St, Springfield, IL 62781 | 2013-05-28 |
| Find all providers in zip 62781 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558740761 | Zarghoona Razi | General Acute Care Hospital | 6119 Greeley Blvd, Springfield, VA 22152-1831 | 2015-05-20 |
| 1821345729 | St, Mary's Hospital | General Acute Care Hospital | 409 N 13th St, Springfield, IL 62702-8422 | 2012-08-09 |
| 1215213756 | Northwest Association of Surgical Assistants, Inc. | General Acute Care Hospital | 3782 Po Box, Springfield, OR 97475 | 2011-10-28 |
| 1356629752 | University of Tennessee Health Science Center | General Acute Care Hospital | 4737 Lahr Rd, Springfield, TN 37172-7125 | 2011-08-02 |
| 1972675148 | Bharati S. Jhaveri | General Acute Care Hospital | 1312 Woods Farm Ln, Springfield, IL 62704-6545 | 2006-11-14 |
| 1316904014 | Mercy Health System Western Ohio | General Acute Care Hospital | 1 S Limestone St, Suite 700, Springfield, OH 45502-1293 | 2006-04-27 |
| 1184606923 | St. John's Hospital of The Hospital Sisters of The Third Order of St F | General Acute Care Hospital | 800 East Carpenter, Springfield, IL 62769-0001 | 2005-11-17 |
| 1063961936 | Memorial Physician Services | General Acute Care Hospital | 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 | 2016-10-03 |
| 1619331022 | Prospect Ccmc, LLC | General Acute Care Hospital | 190 W Sproul Rd, Springfield, PA 19064-2027 | 2016-04-12 |
| 1942666136 | The Mercy Hospital, Inc | General Acute Care Hospital | 175 Carew Street, Springfield, MA 01104-9012 | 2016-01-05 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62781 |
Please comment or provide details below to improve the information on MID AMERICA EMERGENCY MEDICINE.
| 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.