EVERGREEN EMERGENCY GROUP, LLC (NPI# 1316322456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316322456 |
| Entity Type | Organization |
| Organization Name | EVERGREEN EMERGENCY GROUP, LLC |
| Practice Address |
427 Evergreen Hwy Bunkie LA 71322-0380 |
| Mailing Address |
200 Coporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 8008939698 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | WILLIAM C SCHUMACHER (CEO) |
| Authorized Official Telephone | 8008939698 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | LA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363L00000X | Nurse Practitioner | LA | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207P00000X | Emergency Medicine | LA | Allopathic & Osteopathic Physicians |
| Street Address |
427 EVERGREEN HWY |
| City | BUNKIE |
| State | LA |
| Zip Code | 71322-0380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609251222 | Evergreen Physician Services, LLC | Physician Assistant | 427 Evergreen Hwy, Bunkie, LA 71322-0380 | 2015-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053945642 | Sarah Ann Hillman | Physical Therapist | 427 Evergreen Street, Bunkie, LA 71322 | 2020-02-24 |
| 1477054005 | Michelle Ciudadano | Case Manager/Care Coordinator | 109 Chevy Lane, Suite C, Bunkie, LA 71322 | 2018-02-28 |
| 1003332198 | Chelsea Garin | Counselor | 109 Chevy Lane, Suite C, Bunkie, LA 71322 | 2017-08-21 |
| 1457876872 | Tayressha Joy Harmason | Community/Behavioral Health | 1140 Shirley Road, Bunkie, LA 71322 | 2017-08-07 |
| 1942731294 | Adranell Christmas | Non-emergency Medical Transport (VAN) | 303 Martin Luther King Dr, Bunkie, LA 71322 | 2017-03-27 |
| 1477916252 | Bertha Wilson | Counselor | 313 James Street, Bunkie, LA 71322 | 2016-03-30 |
| 1831516087 | Casey Ann Kendall | Pharmacist | 109 Chevy Lane Suite B, Bunkie, LA 71322 | 2014-03-26 |
| 1952642407 | Stephanie L Simmons | Registered Nurse | 1536 Bordelon Rd, Bunkie, LA 71322 | 2013-03-08 |
| 1689861908 | Assisted Living Concepts Inc | Assisted Living Facility | 650 Pershing Avenue, Bunkle, LA 71322 | 2007-10-01 |
| 1932282126 | Pulmonary Services Inc | Durable Medical Equipment & Medical Supplies | 746 Nw Main, #9, Bunkie, LA 71322 | 2006-10-23 |
| Find all providers in zip 71322 | ||||
| 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 |
|---|---|---|---|---|
| 1346848538 | Samire Almeida De Oliveira | Emergency Medicine | 701 Poydras St Suite 104, New Orleans, LA 70139 | 2020-10-11 |
| 1467094268 | Executive Medicine, LLC | Emergency Medicine | 701 Poydras St Ste 104, New Orleans, LA 70139-7761 | 2019-10-13 |
| 1750858387 | Prairieville General Hospital, LLC | Emergency Medicine | 37358 Market Place Drive, Prairieville, LA 70769 | 2018-11-01 |
| 1164956827 | Occucare International Lafayette | Emergency Medicine | 1028 Forum Dr, Broussard, LA 70518-8060 | 2017-04-19 |
| 1831544535 | Joseph Gallien | Emergency Medicine | 3418 Truman St, Lake Charles, LA 70607-2114 | 2016-04-30 |
| 1639533755 | Elizabeth Hays Boyle Cassels | Emergency Medicine | 4256 Brittany Drive, Baton Rouge, LA 70808 | 2016-04-06 |
| 1194119289 | Ryan Christopher Jupiter | Emergency Medicine | 1441 N Miro St, New Orleans, LA 70119-2618 | 2015-03-26 |
| 1528452802 | Julia Terle | Emergency Medicine | 5025 S Prieur St, New Orleans, LA 70125-4946 | 2015-03-24 |
| 1134549322 | Marc Fernandez | Emergency Medicine | 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508-5786 | 2014-04-26 |
| 1235559055 | Bridgette Celeste Egan | Emergency Medicine | 2331 Lapeyrouse St, New Orleans, LA 70119-2521 | 2014-04-19 |
| 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.