ASPEN LEAF EMERGENCY PHYSICIANS, LLC


Address: 630 Broadway St, Madison, IN 47250-3310
Phone: 4694012386

ASPEN LEAF EMERGENCY PHYSICIANS, LLC (NPI# 1154794964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154794964
Entity Type Organization
Organization Name ASPEN LEAF EMERGENCY PHYSICIANS, LLC
Practice Address 630 Broadway St
Madison
IN 47250-3310
Mailing Address Po Box 80076
Philadelphia
PA 19101-0076
Practice Telephone 4694012386
Mailing Telephone 4694012386
Enumeration Date 2015-11-03
Last Update Date 2015-11-18
Authorized Official Name EDDIE STONE, MD (OFFICER)
Authorized Official Telephone 4694012386
Is Organization Subpart N

Taxonomy

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

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003280330 Aspen Leaf Emergency Physicians, LLC Physician Assistant 85 East Us-6 Frontage Road, Valparaiso, IN 46383 2015-11-24
1619340585 Aspen Leaf Emergency Physicians, LLC Physician Assistant 1402 E County Line Rd, Indianapolis, IN 46227-0963 2015-11-02
1679946545 Aspen Leaf Emergency Physicians, LLC Physician Assistant 3630 Guion Rd, Indianapolis, IN 46222-1616 2015-11-02
1902279870 Aspen Leaf Emergency Physicians, LLC Physician Assistant 1125 W Jefferson St, Franklin, IN 46131-2140 2015-11-02
1265805139 Aspen Leaf Emergency Physicians, LLC Physician Assistant 3500 S Lafountain St, Kokomo, IN 46902-3803 2015-11-02
1619340593 Aspen Leaf Emergency Physicians, LLC Physician Assistant 1701 S Creasy Ln, Lafayette, IN 47905-4972 2015-11-02

Other Data Sources

Entity Type Entity Name Entity Address
Indiana Business Entities ASPEN LEAF EMERGENCY PHYSICIANS, LLC 6200 S Syracuse Way, Ste 200, Englewood, CO 80111

Office Location

Street Address 630 BROADWAY ST
City MADISON
State IN
Zip Code 47250-3310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487656161 Michael E Israel Internal Medicine 630 Broadway St, Madison, IN 47250 2005-08-12
1750811956 Philip N Hall Family Medicine 630 Broadway St, Madison, IN 47250-3310 2017-06-20
1427503259 April Barr Nurse Practitioner 630 Broadway St, Madison, IN 47250 2016-08-22
1720453152 Hannah M Lair Nurse Practitioner 630 Broadway St, Madison, IN 47250 2015-12-10
1649512567 Sarah Shewmaker Family Medicine 630 Broadway St, Madison, IN 47250-3310 2013-03-18
1912276866 Dawn M Meacham Family Medicine 630 Broadway St, Madison, IN 47250 2011-12-22
1922039551 Phillip A Ross Family Medicine 630 Broadway St, Madison, IN 47250 2006-07-05
1932130242 Mark D Totten Family Medicine 630 Broadway St, Madison, IN 47250 2006-07-05
1831127208 James W Jackson Internal Medicine 630 Broadway St, Madison, IN 47250-3310 2006-06-28
1134164817 John P Hossler Family Medicine 630 Broadway St, Madison, IN 47250 2006-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770196842 Ariel C Breaux Psychologist 800 Bus Stop Dr, Madison, IN 47250 2020-08-28
1801314455 Physicians Medical Center LLC Nurse Practitioner 311 E Clifty Drive, Madison, IN 47250 2017-09-05
1205201381 Harrison County Hospital Skilled Nursing Facility 120 Presbyterian Avenue, Madison, IN 47250 2015-12-01
1720425796 Kellie Robinson Physical Therapist 112 Holt Dr., Madison, IN 47250 2013-05-30
1568761575 Linda Wehner D.m.d. LLC Dentist 1105 Clifty Drive, Madison, IN 47250 2011-03-17
1205142221 Mary-caroline Peddie Registered Nurse 2003 Hycliff Ct, Madison, IN 47250 2010-08-27
1235376625 Brian Edward Armbrecht Pharmacist One King's Daughters' Dr, Madison, IN 47250 2009-01-07
1902092661 Assisted Living Concepts Inc Assisted Living Facility 607 Virginia Avenue, Madison, IN 47250 2007-09-17
1831218262 Voca of Indiana LLC Intermediate Care Facility, Mentally Retarded 3004 Kentucky Ave, Madison, IN 47250 2007-03-28
1396877205 Quinco Consulting Center Inc Clinic/Center 3100 N Bevcher Drive, Madison, IN 47250 2007-03-09
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114375367 Arthur How Jen Chiu Emergency Medicine 1726 Chadbourne Ave, Madison, WI 53726-4108 2016-05-28
1164802138 Adam Nicholson Emergency Medicine 600 Highlanc Ave, Madison, WI 53792-0001 2015-06-04
1043606841 Kevin P Emmerich Emergency Medicine 390 West Johnson St, Madison, WI 53703 2015-04-09
1083004360 Lauren M Sheehy Emergency Medicine 2715 Marshall Ct Apt 216, Madison, WI 53705-2240 2015-01-26
1720347941 Hannah Eason Bates Emergency Medicine 107 Waterford Cir, Madison, AL 35758-7847 2012-05-08
1457649634 Nicholas R Conwell Emergency Medicine 4142 Veith Ave, Madison, WI 53704-1149 2011-07-21
1720376015 James G Berbee Emergency Medicine 3534 Lake Mendota Dr, Madison, WI 53705-1473 2011-07-20
1134418486 Matthew Lochen Emergency Medicine 700 S. Park Street, Department of Emergency Medicine, Madison, WI 53715 2011-04-06
1548493588 Theresa Kinney Payant Mckenna Emergency Medicine 3033 Irvington Way, Madison, WI 53713-3413 2009-08-25
1992967343 Jamie Michelle Hess Emergency Medicine 800 University Bay Dr, Suite 310, Madison, WI 53705-2278 2008-06-26
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Competitor

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City MADISON
Zip Code 47250

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Dataset Information

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.

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