PEA RIVER EMERGENCY PHYSICIANS (NPI# 1275890691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275890691 |
| Entity Type | Organization |
| Organization Name | PEA RIVER EMERGENCY PHYSICIANS |
| Practice Address |
987 Drayton Street Elba AL 36323-1404 |
| Mailing Address |
815 S Palafox St Ste 300 Pensacola FL 32502-5960 |
| Practice Telephone | 3348972257 |
| Mailing Telephone | 8004447009 |
| Mailing Fax Number | 8003053233 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |
| Authorized Official Name | MR. JOSEPH W TAYLOR (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 8004447009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
987 DRAYTON STREET |
| City | ELBA |
| State | AL |
| Zip Code | 36323-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871850297 | Noah Tucker Inpatient Services | Internal Medicine | 987 Drayton Street, Elba, AL 36323 | 2012-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972610947 | Timothy Michael Jackson | Dentist | 982 Drayton Avenue, Elba, AL 36323 | 2006-08-24 |
| 1467484493 | Freds Stores of Tennessee Inc | Pharmacy | 966 Hwy 203, Elba, AL 36323 | 2006-07-07 |
| 1356490197 | Coffee County Health Dept-elba Mat | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-01-10 |
| 1821123928 | State of Alabama Department of Public Health | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-02-22 |
| 1649314634 | Coffee County Health Dept-elba Vfc Immun | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-02-16 |
| 1669516373 | Coffee County Health Dept-elba Mat Cm | Case Management | North Court Avenue, Elba, AL 36323-0000 | 2007-02-16 |
| 1093859894 | Coffee County Health Dept-elba Epsdt Cm | Case Management | North Court Avenue, Elba, AL 36323-0000 | 2007-02-16 |
| 1710020896 | Coffee County Health Dept-elba Fp Cm | Case Management | North Court Avenue, Elba, AL 36323-0000 | 2007-02-15 |
| 1417090630 | Coffee County Health Dept-elba Epsdt | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-02-15 |
| 1780727867 | Coffee County Health Dept Offsite Epsdt | Public Health or Welfare | North Court Avenue, Elba, AL 36323-0000 | 2007-02-15 |
| Find all providers in zip 36323 | ||||
| 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 |
|---|---|---|---|---|
| 1740802115 | Jonathan Patrick Oakie | Emergency Medicine | 134 Grand Haven Dr, Tuscumbia, AL 35674-9133 | 2020-05-08 |
| 1639692767 | Northwest Alabama Emergency Medicine LLC | Emergency Medicine | 1751 Veterans Dr, Florence, AL 35630-4928 | 2017-07-20 |
| 1245768316 | Ashton Elisabeth Kilgore | Emergency Medicine | 618 20th St South Suite 251, Birmingham, AL 35249-4756 | 2017-06-01 |
| 1568998169 | Hannah Obayangban | Emergency Medicine | 801 Princeton Ave Sw Ste 101, Birmingham, AL 35211-1306 | 2017-05-03 |
| 1255872594 | Harris Lake Emergency Physicians LLC | Emergency Medicine | 1032 South Main Street, Wedowee, AL 36278 | 2017-03-20 |
| 1720492242 | Christopher John Phillips | Emergency Medicine | 1201 7th Street Se, Decatur, AL 35601 | 2014-06-12 |
| 1497175236 | Paul Nicholas Lee Jr. | Emergency Medicine | 1626 Parkmoor Ct, Mobile, AL 36695-4385 | 2014-04-20 |
| 1831518943 | Rene Thomas Schexnaildre Jr. | Emergency Medicine | 7191 Cahaba Valley Rd Ste 108, Birmingham, AL 35242-6461 | 2014-04-16 |
| 1073930251 | Rachel Michelle Giyanani | Emergency Medicine | 100 Washington St Ne, Huntsville, AL 35801-4860 | 2014-03-25 |
| 1063836765 | Mohamed Hassan | Emergency Medicine | 5569 Grove Blvd, Hoover, AL 35226 | 2014-02-15 |
| 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.