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).
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 |
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 |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | ASPEN LEAF EMERGENCY PHYSICIANS, LLC | 6200 S Syracuse Way, Ste 200, Englewood, CO 80111 |
Street Address |
630 BROADWAY ST |
City | MADISON |
State | IN |
Zip Code | 47250-3310 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 47250 |
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 |
---|---|---|---|---|
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 |
Find all providers in MADISON |
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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.