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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
Street Address |
3901 S 7TH ST |
City | TERRE HAUTE |
State | IN |
Zip Code | 47802-5709 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 47802 |
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 |
---|---|---|---|---|
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 |
Find all providers in TERRE HAUTE |
City | TERRE HAUTE |
Zip Code | 47802 |
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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.