WILLARD EMERGENCY SERVICES, LLC (NPI# 1134187321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134187321 |
| Entity Type | Organization |
| Organization Name | WILLARD EMERGENCY SERVICES, LLC |
| Practice Address |
110 E Howard St Willard OH 44890-1611 |
| Mailing Address |
Po Box 758705 Baltimore MD 21275-0001 |
| Practice Telephone | 4199645000 |
| Practice Fax Number | 9048051302 |
| Mailing Telephone | 9048051300 |
| Mailing Fax Number | 9048051302 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-07-23 |
| Authorized Official Name | ROBERT J BUNKER (CHAIRMAN/PRESIDENT/CEO) |
| Authorized Official Telephone | 9048051300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2193335 | 05 | |
| OH | DEPT OF LABOR | 264363100 | 01 |
| OH | FL BLACK LUNG | 020204700 | 01 |
| OH | BLUE CROSS & BLUE SHIELD | 000000187190 | 01 |
| OH | RAIL ROAD MEDICARE | P00173421 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | WILLARD EMERGENCY SERVICES, LLC | 2828 Croasdaile Dr, Durham, NC 27705 |
| Street Address |
110 E HOWARD ST |
| City | WILLARD |
| State | OH |
| Zip Code | 44890-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284660 | Marvin Kazmin | Urology | 110 E Howard St, Willard, OH 44890-1611 | 2005-06-09 |
| 1740594738 | Advanced Neurologic Associates, Inc | Psychiatry & Neurology | 110 E Howard St, Willard, OH 44890-1611 | 2010-08-02 |
| 1326372038 | Midwest Emergency Services Ohio, Inc | Emergency Medicine | 110 E Howard St, Willard, OH 44890-1611 | 2009-09-28 |
| 1265605240 | Mercy Health - Willard Hospital LLC | Internal Medicine | 110 E Howard St, Willard, OH 44890-1611 | 2008-04-10 |
| 1194831495 | Veselin Dimitrov | Emergency Medicine | 110 E Howard St, Willard, OH 44890-1611 | 2006-08-21 |
| 1760598965 | John Kerns | Emergency Medicine | 110 E Howard St, Willard, OH 44890-1611 | 2006-08-21 |
| 1679513386 | Sisters of Mercy of Willard, Ohio | Home Health | 110 E Howard St, Willard, OH 44890-1611 | 2006-06-08 |
| 1144201849 | Punita P Kothari | Medical Genetics, Ph.D. Medical Genetics | 110 E Howard St, Willard, OH 44890-1611 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932552924 | Ohio Hearing & Vision Professionals, LLC | Hearing Instrument Specialist | 421 A E. Walton St., Willard, OH 44890 | 2016-07-14 |
| 1861641417 | Mercy Health System-northern Region | Obstetrics & Gynecology | 1506 S Conwell Ave, Willard, OH 44890 | 2008-09-18 |
| 1538334404 | Paula Joan Hodge | Physical Therapy Assistant | 725 Wessor Ave, Willard, OH 44890 | 2008-04-23 |
| 1477753960 | Willard Board of Education | Local Education Agency (LEA) | 955 S. Main Street, Willard, OH 44890 | 2007-07-23 |
| 1366504375 | Liberty Nursing Center Willard | Skilled Nursing Facility | 370 E Howard, Willard, OH 44890 | 2006-12-15 |
| 1558438812 | Michele Ann Carrick | Licensed Practical Nurse | 4095 Townline Rd 12, Willard, OH 44890 | 2006-11-29 |
| 1740351527 | Sherri Lynnette Mullins | Registered Nurse | 4515 Us Rt 224 West, Willard, OH 44890 | 2006-11-13 |
| 1811987274 | William A. Stamp | Chiropractor | 113 Walton Street, Willard, OH 44890 | 2005-10-26 |
| 1861494478 | Robert W Secor | Family Medicine | 1100 Neal Zick Road, Willard, OH 44890 | 2005-08-12 |
| 1851823330 | Willard Eye Care Inc | Optometrist | 320 W Walton St, Willard, OH 44890 | 2017-04-03 |
| Find all providers in zip 44890 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164777843 | City of Blossoms Inpatient Services LLC | Emergency Medicine | 1100 Neal Zick Rd, Willard, OH 44890-9287 | 2012-07-18 |
| 1144585878 | Whiliser Drive Emergency Physicians LLC | Emergency Medicine | 1100 Neal Zick Rd, Willard, OH 44890-9287 | 2012-07-09 |
| 1326372038 | Midwest Emergency Services Ohio, Inc | Emergency Medicine | 110 E Howard St, Willard, OH 44890-1611 | 2009-09-28 |
| 1194831495 | Veselin Dimitrov | Emergency Medicine | 110 E Howard St, Willard, OH 44890-1611 | 2006-08-21 |
| 1760598965 | John Kerns | Emergency Medicine | 110 E Howard St, Willard, OH 44890-1611 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023624251 | Chadwick Gordon Rogers | Emergency Medicine | 6605 Rollymeade Ave, Cincinnati, OH 45243-3019 | 2020-09-22 |
| 1003433384 | Emergency Medicine Specialists, Inc. | Emergency Medicine | 1 Kettering Way, Piqua, OH 45356-4109 | 2020-07-02 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1528695384 | Chizite Iheonunekwu | Emergency Medicine | 1 Akron General Ave # Aae, Akron, OH 44307-2432 | 2020-03-23 |
| 1790336741 | Ashley Brooke Tincher | Emergency Medicine | 8356 Horseshoe Rd, Ashley, OH 43003-8723 | 2019-09-21 |
| 1871090316 | Integrated Health Medical Consultants LLC | Emergency Medicine | 4487 Village Club Drive, Powell, OH 43065-7156 | 2018-04-11 |
| 1548765126 | Alex Lu | Emergency Medicine | 3000 Arlington Ave., Mailstop 1088, 2456 Dowling Hall, Toledo, OH 43614 | 2018-03-27 |
| 1871097253 | Scotty Fulton | Emergency Medicine | 2213 Cherry Street, Acc, 1st Floor, Toledo, OH 43608 | 2018-03-21 |
| 1821514761 | Roger Hart L'hommedieu Jr. | Emergency Medicine | 7341 Lacosta Dr, Hudson, OH 44236-1804 | 2017-08-22 |
| 1285150599 | Emergency Medicine Care Specialists, Inc | Emergency Medicine | 1620 Royal Oak Dr, Mansfield, OH 44906-3635 | 2017-08-17 |
| 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.