BULLHEAD EMERGENCY PHYSICIANS LLC (NPI# 1194258459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194258459 |
| Entity Type | Organization |
| Organization Name | BULLHEAD EMERGENCY PHYSICIANS LLC |
| Practice Address |
1301 N Race St Glasgow KY 42141-3454 |
| Mailing Address |
13737 Noel Rd 1600 Dallas TX 75240-1331 |
| Practice Telephone | 9732511132 |
| Mailing Telephone | 9732511132 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | KATHLEEN KONDAS (OFFICER) |
| Authorized Official Telephone | 9732511132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1301 N RACE ST |
| City | GLASGOW |
| State | KY |
| Zip Code | 42141-3454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581894 | T J Samson Community Hospital | General Acute Care Hospital | 1301 N Race St, Glasgow, KY 42141-3454 | 2005-07-12 |
| 1821635913 | Kristen Wilkinson | Registered Nurse | 1301 N Race St, Glasgow, KY 42141-3454 | 2019-12-08 |
| 1821645961 | Aman Caporaso | Physician Assistant | 1301 N Race St, Glasgow, KY 42141-3483 | 2019-08-22 |
| 1396305777 | Alexis N Sherfey | Nurse Practitioner | 1301 N Race St, Glasgow, KY 42141-3454 | 2019-06-18 |
| 1225524812 | Jon R Jarvis | Nurse Practitioner | 1301 N Race St, Glasgow, KY 42141-3454 | 2018-07-06 |
| 1932693504 | Jonathan Michael Robertson | Nurse Practitioner | 1301 N Race St, Glasgow, KY 42141-3483 | 2018-06-18 |
| 1902323363 | Clinton Bybee | Pharmacist | 1301 N Race St, Glasgow, KY 42141-3454 | 2017-08-26 |
| 1720511082 | Kentucky Em-i Medical Services Psc | Physician Assistant | 1301 N Race St, Glasgow, KY 42141-3454 | 2017-04-04 |
| 1952833311 | Daniel Weeks | Emergency Medicine | 1301 N Race St, Glasgow, KY 42141-3483 | 2017-04-03 |
| 1073060059 | T J Samson Community Hospital | Pharmacy | 1301 N Race St, Glasgow, KY 42141-3454 | 2016-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505912 | Adriene Elizabeth Wilson | Nurse Practitioner | 310 N. L. Rogers Blvd., Glasgow, KY 42141 | 2020-07-14 |
| 1649896648 | Katrina Antonette Casanova Tinoco | Student in an Organized Health Care Education/Training Program | 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 | 2020-06-25 |
| 1245744630 | Town and Country Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 742a East Main Street, Glasgow, KY 42141 | 2017-11-22 |
| 1821413022 | Russell England | Nurse Practitioner | 370 Beaver Mound Circle, Glasgow, KY 42141 | 2014-02-25 |
| 1447507439 | Rehabcare | Skilled Nursing Facility | 109homewoodblvd, Glasgow, KY 42141 | 2012-08-08 |
| 1578847778 | Alexander Kwadwo Somuah | Pharmacist | 1001 W. Main St, Glasgow, KY 42141 | 2011-10-06 |
| 1518240522 | William David Wiley | Pharmacist | 1001 West Main St., Glasgow, KS 42141 | 2011-09-26 |
| 1003121732 | Teresa Katherine Essex | Speech-Language Pathologist | 341 Ginger Rd, Glasgow, KY 42141 | 2010-08-18 |
| 1396915468 | R David Fant Md Psc | Pediatrics | 1407 North Race St, Glasgow, KY 42141 | 2008-03-05 |
| 1003021957 | Eddy Joe Newberry II | Dentist | 400 S. Broadway, Glasgow, KY 42141 | 2007-05-14 |
| Find all providers in zip 42141 | ||||
| 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 |
|---|---|---|---|---|
| 1093210338 | Emily Marsh | Emergency Medicine | 50 Woodson Way, Glasgow, KY 42141-3245 | 2018-03-28 |
| 1891738829 | Morris D. Moss | Emergency Medicine | 290 Old Jackson Highway Loop, Glasgow, KY 42141-9089 | 2006-06-14 |
| 1639666571 | Dillon Pender | Emergency Medicine | 1325 N Race St, Glasgow, KY 42141-3427 | 2018-04-17 |
| 1952833311 | Daniel Weeks | Emergency Medicine | 1301 N Race St, Glasgow, KY 42141-3483 | 2017-04-03 |
| 1548622186 | Zachary Ethan Gale | Emergency Medicine | 1325 N Race St, Glasgow, KY 42141 | 2016-03-23 |
| 1053631101 | Elizabeth L Combs Royse | Emergency Medicine | 310 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2010-06-10 |
| 1689846156 | Kara Beth Gilkey | Emergency Medicine | 1301 N Race St, Glasgow, KY 42141-3454 | 2008-03-25 |
| 1629178462 | Kylend Kiser | Emergency Medicine | 1301 N Race St, Glasgow, KY 42141-3454 | 2006-09-22 |
| 1003916842 | Lee Carter | Emergency Medicine | 1301 N Race St, Glasgow, KY 42141-3454 | 2006-09-22 |
| 1255431094 | Wayne Kopp | Emergency Medicine | 1301 N Race St, Glasgow, KY 42141-3454 | 2006-09-22 |
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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.