EXPEDITION TRAILS EMERGENCY PHYSICIANS, LLC (NPI# 1396170437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396170437 |
| Entity Type | Organization |
| Organization Name | EXPEDITION TRAILS EMERGENCY PHYSICIANS, LLC |
| Practice Address |
4601 Medical Plaza Way Clarksville IN 47129-9204 |
| Mailing Address |
Po Box 37922 Philadelphia PA 19101-0519 |
| Practice Telephone | 2154425029 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2018-02-09 |
| Authorized Official Name | TENNA K BEHM (VP OF ENROLLMENT) |
| Authorized Official Telephone | 4694012386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | EXPEDITION TRAILS EMERGENCY PHYSICIANS, LLC | 6200 S Syracuse Way, Ste 200, Greenwood Village, CO 80111 |
| Street Address |
4601 MEDICAL PLAZA WAY |
| City | CLARKSVILLE |
| State | IN |
| Zip Code | 47129-9204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760659205 | Kentuckiana Medical Center LLC | General Acute Care Hospital | 4601 Medical Plaza Way, Clarksville, IN 47129-9204 | 2008-05-14 |
| 1235767815 | Norton Healthcare-indiana Inc | General Acute Care Hospital | 4601 Medical Plaza Way, Clarksville, IN 47129-9204 | 2020-03-30 |
| 1700237609 | Amg of Kentuckiana Medical Center LLC | Anesthesiology | 4601 Medical Plaza Way, Clarksville, IN 47129-9204 | 2016-06-22 |
| 1023487154 | Clarksville Emergency Group, PC | Physician Assistant | 4601 Medical Plaza Way, Clarksville, IN 47129-9204 | 2015-09-18 |
| 1538305461 | Associates In General Surgery, Psc | Surgery | 4601 Medical Plaza Way, Clarksville, IN 47129-9204 | 2008-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997912 | Steven W Spalding | Massage Therapist | 4755 Us-31 East, Clarksville, IN 47129 | 2020-09-22 |
| 1194373571 | Clarksville Psych Hospital, LLC | Psychiatric Hospital | 1612 Blackiston View Dr, Clarksville, IN 47129 | 2019-08-29 |
| 1699261792 | Richard H Milburn | Physical Therapist | Communicare Healthcare Center, 101 Potters Ln, Clarksville, IN 47129 | 2018-07-02 |
| 1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
| 1972870772 | Gail Glasgow | Pharmacist | 220 E. Lewis and Clark Parkway, Clarksville, IN 47129 | 2011-11-22 |
| 1417272360 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1401 Veterans Pkwy, Clarksville, IN 47129 | 2010-04-05 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1467623629 | Mortenson Family Dental Center- Clarksville, LLC | Dentist | 1240 Veterans Parkway, Suite 100, Clarksville, IN 47129 | 2008-03-17 |
| 1932394087 | Amy Bedan Poff | Nurse Practitioner | 2051 Clevidence Blvd Ste B, Clarksville, IN 47129 | 2007-09-12 |
| 1376757054 | Rukhsana Ikram Rahman | Internal Medicine | 630 Eastern Blvd, Clarksville, IN 47129 | 2007-05-10 |
| Find all providers in zip 47129 | ||||
| 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 |
|---|---|---|---|---|
| 1578728002 | Simon Martin Spilkin | Emergency Medicine | 1492 Tiny Town Rd, Suite A1&a2, Clarksville, TN 37042-7873 | 2008-07-24 |
| 1144417528 | Ameet Sharad Parikh | Emergency Medicine | 12313 Daniel Circle Ln, Clarksville, MD 21029-1197 | 2007-09-28 |
| 1003993213 | Kaiser Ahmad, Pa | Emergency Medicine | 6404 Western Star Run, Clarksville, MD 21029-1247 | 2006-11-01 |
| 1760599575 | Syed Ahmed Naseeruddin | Emergency Medicine | 137 Village Way, Clarksville, TN 37043-5458 | 2006-08-25 |
| 1346277324 | Jackie L Hinds | Emergency Medicine | 651 Dunlop Ln., Gateway Med Center, Clarksville, TN 37040-5015 | 2006-06-27 |
| 1841239647 | Gregory Laurent Conner | Emergency Medicine | 2191 Memorial Dr, Aptartment G95, Clarksville, TN 37043-4797 | 2006-06-06 |
| 1174570014 | Mark A Muiznieks | Emergency Medicine | 651 Dunlop Lane Clarksville, Clarksville, TN 37040-5015 | 2006-05-27 |
| 1568446268 | Henry Shipley Hewes | Emergency Medicine | 720 County Road 3100, Clarksville, TX 75426-6612 | 2005-12-06 |
| 1194259630 | Logan Snyder I | Emergency Medicine | 651 Dunlop Ln, Clarksville, TN 37040-5015 | 2017-04-11 |
| 1609259753 | East Arkansas Emergency Physicians, Pllc | Emergency Medicine | 1100 E Poplar St, Clarksville, AR 72830-4419 | 2015-07-08 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 47129 |
Please comment or provide details below to improve the information on EXPEDITION TRAILS EMERGENCY PHYSICIANS, LLC.
| 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.