NORTHERN INDIANA EMERGENCY PHYSICIANS, LLP


Address: 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000
Phone: 8669165259

NORTHERN INDIANA EMERGENCY PHYSICIANS, LLP (NPI# 1497185797) 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) 1497185797
Entity Type Organization
Organization Name NORTHERN INDIANA EMERGENCY PHYSICIANS, LLP
Practice Address 4011 S Monroe Medical Park Blvd
Bloomington
IN 47403-8000
Mailing Address 75 Remit Dr
Suite 1367
Chicago
IL 60675-1367
Practice Telephone 8669165259
Practice Fax Number 2319224030
Mailing Telephone 8669165259
Mailing Fax Number 2319224030
Enumeration Date 2013-11-22
Last Update Date 2013-11-22
Authorized Official Name DERIK K KING (LLP MANAGING PARTNER)
Authorized Official Telephone 8669165259
Is Organization Subpart N

Taxonomy

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

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1700801479 Northern Indiana Emergency Physicians, LLP Physician Assistant 710 N East St, Wabash, IN 46992-1914 2006-07-13

Office Location

Street Address 4011 S MONROE MEDICAL PARK BLVD
City BLOOMINGTON
State IN
Zip Code 47403-8000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871587451 Linnea Pennycuff Dietitian, Registered 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2005-09-09
1396284410 Bloomington Emergency Care LLC Emergency Medicine 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2017-02-22
1295105641 Sheridan Emergency Physician Services of Indiana, PC Emergency Medicine 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2015-09-29
1023448321 Northwest Hospitalist Physicians, LLP Emergency Medicine 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2013-11-22
1821366832 Bloomington Emergency Group PC Physician Assistant 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2011-12-05
1164790341 Bloomington Physician Services PC Physician Assistant 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2011-12-02
1104059468 Amandeep Singh Internal Medicine 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2009-09-02
1801046347 Monroe Hospital Ambulance Service Ambulance 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2008-09-21
1568627206 Monroe Medical Group Inc Anesthesiology 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2008-07-22
1093990541 Anesthesia Care of Bloomington PC Anesthesiology 4011 S Monroe Medical Park Blvd, Bloomington, IN 47403-8000 2008-01-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043783673 Brook Whitaker Registered Nurse 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 2019-01-07
1598251175 Jacob Edward Lundorf Nurse Practitioner 2100 S Liberty Dr Ste B, Bloomington, IN 47403 2018-07-06
1568973717 Gregory Thomas Dougan Physician Assistant 418 South Landmark Avenue, Bloomington, IN 47403 2017-10-16
1295276160 Indiana Center for Recovery, LLC Substance Abuse Rehabilitation Facility 1004 W 1st Street, Bloomington, IN 47403 2017-03-13
1144694217 Kayla Dewolf Specialist/Technologist 1471 W Allen St, Bloomington, IN 47403 2015-11-30
1164806444 Monroe Hosoital General Acute Care Hospital 4011 Monroe Medical Park, Bloomington, IN 47403 2015-07-16
1821411588 Jennifer Turner Occupational Therapy Assistant 1023 West Main St, Swiss Villa, Vevay, IN 47403 2014-01-30
1104170232 Kendall Basore Social Worker 445 S. Landmark Ave., Bloomington, IN 47403 2012-10-26
1568715886 Indiana Hearing LLC Hearing Aid Equipment 2019 S Liberty Dr, Bloomington, IN 47403 2012-10-24
1679870232 Accurate Hearing Services Clinic/Center 1355 W Second St, #3, Bloomington, IN 47403 2011-02-17
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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
1710181664 Obidike Richard Akahara Emergency Medicine 1129 Devonshire Curv, Bloomington, MN 55431-5016 2007-06-13
1801826235 M Allan Griffith Emergency Medicine 1701 East College Ave, Bloomington, IL 61701 2006-07-03
1639109945 Emergency Medicine Professionals of Indiana LLC Emergency Medicine 4011 So Monroe Medical Park Blvd, Bloomington, IN 47403-9765 2006-07-03
1326076654 David Gill Emergency Medicine 24 Conway Cir, Bloomington, IL 61704-8285 2006-06-28
1184691362 Steven Timothy Tvedte Emergency Medicine 5409 Mount Normandale Curv, Bloomington, MN 55437-1019 2006-03-07
1598730152 Carson R Harris Emergency Medicine 8040 Old Cedar Ave S Ste 100, Bloomington, MN 55425-1205 2006-02-17
1962474809 Jonathan D Slater Emergency Medicine 2705 Degarmo Dr, Bloomington, IL 61704-9177 2006-02-04
1487634226 Luis A Martinez Emergency Medicine 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 2006-01-18
1043297278 Ronald C Jenson Emergency Medicine 4794 Red Oak Ln, Bloomington, IN 47401-9100 2005-12-29
1801871934 Emergency Physicians Professional Association Emergency Medicine 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435-5435 2005-12-13
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Competitor

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City BLOOMINGTON
Zip Code 47403

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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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