STATE LINE HOSPITALISTS, LLP (NPI# 1477942977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477942977 |
| Entity Type | Organization |
| Organization Name | STATE LINE HOSPITALISTS, LLP |
| Practice Address |
100 Jackson Pike Gallipolis OH 45631-1560 |
| Mailing Address |
75 Remit Dr # 1367 Chicago IL 60675-1367 |
| Practice Telephone | 7404465000 |
| Mailing Telephone | 7404465000 |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | DERIK K KING (MANAGING PARTNER) |
| Authorized Official Telephone | 8669165259 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
100 JACKSON PIKE |
| City | GALLIPOLIS |
| State | OH |
| Zip Code | 45631-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407857014 | Robert O. Schmoll Jr. | Pharmacist | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2005-08-04 |
| 1235740986 | Deborah Pope | Pharmacist | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2020-08-14 |
| 1407464332 | Emily Nichole Howell | Pharmacist | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2020-07-16 |
| 1932723020 | Ethan Stephens | Family Medicine | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2020-06-03 |
| 1528680485 | Umar Razzaq | Student in an Organized Health Care Education/Training Program | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2020-05-14 |
| 1205458064 | Giovanti Davis | Student in an Organized Health Care Education/Training Program | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2020-05-14 |
| 1841834488 | Mauja Venugopal Rajan | Nurse Practitioner | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2019-11-06 |
| 1467094300 | Brian Ly | Pharmacist | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2019-10-11 |
| 1295388601 | Noah Lee Searls | Pharmacist | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2019-07-24 |
| 1487206421 | Andrea Rae Roush | Nurse Practitioner | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178703 | Nathaniel D Chapman | Specialist/Technologist | 4th Avenue and Sycamore State, Gallipolis, OH 45631 | 2019-01-15 |
| 1013499029 | Spencer Kissel | Nurse Practitioner | 1284 State Route 160, Gallipolis, OH 45631 | 2018-09-06 |
| 1164940078 | Spring Valley Family Pharmacy LLC | Pharmacy | 448 Jackson Pike Road, Gallipolis, OH 45631 | 2017-08-31 |
| 1831619832 | Crystal N Rankin | Registered Nurse | 471 Paxton Rd, Gallipolis, OH 45631 | 2017-06-21 |
| 1962869685 | Edward Mussi Jr. | Specialist/Technologist | 1051 4th Ave, Gallipolis, OH 45631 | 2016-01-26 |
| 1861822181 | Arbors At Gallipolis | Nursing Facility/Intermediate Care Facility | 170 Pinecrest Drive, Gallipolis, OH 45631 | 2013-11-22 |
| 1619237039 | Mark W. Hasseman | Massage Therapist | 21 Central Avenue, Suite C, Gallipolis, OH 45631 | 2012-05-18 |
| 1730487463 | Elizabeth A Canaday | Nurse Practitioner | 10 Airport Rd, Gallipolis, OH 45631 | 2011-03-03 |
| 1467759456 | Allen Keith Sheets | Dentist | 722 Second Avenue, Gallipolis, OH 45631 | 2011-02-28 |
| 1144398074 | Richard Bowers Simpson | Family Medicine | 49 Ohio Ave, Gallipolis, OH 45631 | 2006-11-30 |
| Find all providers in zip 45631 | ||||
| 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 |
|---|---|---|---|---|
| 1578952503 | River Region Emergency Physicians LLP | Emergency Medicine | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2015-01-14 |
| 1689072779 | Southern Ohio Emergency Physicians LLP | Emergency Medicine | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2014-12-05 |
| 1992922785 | Jason Scott Reaves | Emergency Medicine | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2007-04-20 |
| 1932297934 | Kyle E Mccausland | Emergency Medicine | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-10-11 |
| 1679588545 | Susheel S Kakde Sr. | Emergency Medicine | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-07-29 |
| 1932144821 | Randall L. Stratton | Emergency Medicine | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-06-17 |
| 1477595569 | Andrew Thomas Hughes | Emergency Medicine | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-06-12 |
| 1710928346 | Philip C. Robbins | Emergency Medicine | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-06-08 |
| 1225076458 | Gregory J. Mickunas | Emergency Medicine | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-06-02 |
| 1811944804 | Clyde Rorrer | Emergency Medicine | 90 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-05-27 |
| Find all providers in GALLIPOLIS | ||||
| City | GALLIPOLIS |
| Zip Code | 45631 |
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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.