EDELBROOK EMERGENCY PHYSICIANS LLC


Address: 3901 S 7th St, Terre Haute, IN 47802-5709
Phone: 4694012386

EDELBROOK EMERGENCY PHYSICIANS LLC (NPI# 1366988479) 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) 1366988479
Entity Type Organization
Organization Name EDELBROOK EMERGENCY PHYSICIANS LLC
Practice Address 3901 S 7th St
Terre Haute
IN 47802-5709
Mailing Address Po Box 80164
Philadelphia
PA 19101-1164
Practice Telephone 4694012386
Mailing Telephone 9548382371
Enumeration Date 2017-01-12
Last Update Date 2019-08-21
Authorized Official Name KATHLEEN KONDAS (OFFICER)
Authorized Official Telephone 9548382371
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 3901 S 7TH ST
City TERRE HAUTE
State IN
Zip Code 47802-5709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750374419 Roland M Kohr Pathology 3901 S 7th St, Terre Haute, IN 47802-5709 2005-08-29
1982233359 Bobette Makoyi Nurse Anesthetist, Certified Registered 3901 S 7th St, Terre Haute, IN 47802-5709 2020-04-07
1528697489 Niko Mccarter Nurse Anesthetist, Certified Registered 3901 S 7th St, Terre Haute, IN 47802-5709 2020-04-03
1083244941 Lucidus Diagnostics LLC Pathology 3901 S 7th St, Terre Haute, IN 47802-5709 2020-01-20
1770129066 Terre Haute Anesthesiology LLC Nurse Anesthetist, Certified Registered 3901 S 7th St, Terre Haute, IN 47802-5709 2019-11-21
1033777263 Gara Sibley Nurse Anesthetist, Certified Registered 3901 S 7th St, Terre Haute, IN 47802-4299 2019-06-03
1619442613 Samuel Irving Nurse Anesthetist, Certified Registered 3901 S 7th St, Terre Haute, IN 47802-5709 2018-10-05
1073002390 Rebecca Maupin Nurse Anesthetist, Certified Registered 3901 S 7th St, Terre Haute, IN 47802-5709 2018-05-02
1861900128 Audrea Lauren Sisk Nurse Anesthetist, Certified Registered 3901 S 7th St, Terre Haute, IN 47802-5709 2018-01-19
1669982070 Shannon Welsh Nurse Practitioner 3901 S 7th St, Terre Haute, IN 47802-5709 2017-10-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184242364 Sowjanya Gunukula Dentist 3359 S Us Hwy 41, Terre Haute, IN 47802 2020-07-14
1366005027 Irma D Davis Lmft Marriage & Family Therapist 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 2019-04-18
1255892543 Darcie Jo Antony Dietitian, Registered 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 2019-03-28
1548726003 James Brian Levenson Nurse Practitioner 670 Margaret Dr, Terre Haute, IN 47802 2019-02-20
1972011815 Wellness for Life Medical LLC Clinic/Center 3487 S 4th St, Terre Haute, IN 47802 2018-01-12
1992211965 Megan Elizabeth Marietta Nurse Practitioner 3487 S 4th Street, Terre Haute, IN 47802 2017-12-28
1396187944 Marc Keilman Pharmacist 1240 E Hook Dr, Terre Haute, IN 47802 2013-07-24
1043563364 Indiana Hearing LLC Hearing Aid Equipment 3181 S 3rd Pl, Terre Haute, IN 47802 2012-10-24
1619241783 Michael James Elkins Shanks Urology 3401 S 4th St, Terre Haute, IN 47802 2012-03-06
1073890208 Christopher Allan Blila Nurse Practitioner 4700 Bureau Road South, Terre Haute, IN 47802 2011-11-16
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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
1588085187 Advocating Health Er, LLC Emergency Medicine 5105 S Us Highway 41 Ste 175, Terre Haute, IN 47802-4790 2013-12-27
1811333016 Indiana Emergency Physicians LLP Emergency Medicine 1120 Davis Drive, Terre Haute, IN 47802-4057 2013-05-14
1245676444 Indiana Emergency Physicians LLP Emergency Medicine 2222 Margaret Avenue, Terre Haute, IN 47802-3339 2013-05-14
1508202706 Indiana Emergency Physicians LLP Emergency Medicine 1850 East Howard Wayne Dr, Terre Haute, IN 47802-5415 2013-05-14
1225167901 Dorene G. Hojnicki Emergency Medicine 915 S Petercheff St, Terre Haute, IN 47803-5027 2007-03-05
1609843325 Batuk Ramolia Emergency Medicine 890 E Bunkerhill Dr, Terre Haute, IN 47802-9363 2006-03-01
1285103671 Cep America LLC Emergency Medicine 1606 N 7th St, Terre Haute, IN 47804-2706 2018-11-15
1477930089 Indiana Emergency Physicians, LLP Emergency Medicine 395 8th Ave, Terre Haute, IN 47807 2015-05-04
1245634906 Indiana Emergency Physicians, LLP Emergency Medicine 3150 N 7th St, Terre Haute, IN 47804-1034 2014-10-09
1396145975 Healogics Specialty Physicians of Indiana, LLC Emergency Medicine 1606 N 7th St, Terre Haute, IN 47804-2706 2014-09-02
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Competitor

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City TERRE HAUTE
Zip Code 47802

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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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