POTTAWATOMIE EMERGENCY PHYSICIANS LLC (NPI# 1629392972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629392972 |
| Entity Type | Organization |
| Organization Name | POTTAWATOMIE EMERGENCY PHYSICIANS LLC |
| Practice Address |
1102 W Macarthur St Shawnee OK 74804-1743 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 4058788110 |
| Mailing Telephone | 4694012386 |
| Mailing Fax Number | 2147122444 |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2014-04-24 |
| Authorized Official Name | ROSS RONAN (VICE PRESIDENT) |
| Authorized Official Telephone | 4694012386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1102 W MACARTHUR ST |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804-1743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925781 | Gaynell Marie Schieber Anderson | Family Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2005-07-08 |
| 1720562291 | Eric Olson | Nurse Practitioner | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2018-09-20 |
| 1326555434 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2018-01-10 |
| 1568975225 | Mikayla Jean Sims | Physician Assistant | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2017-11-15 |
| 1245673573 | Allison Nichole Childers | Nurse Practitioner | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2013-04-17 |
| 1710239009 | Community Health Partners,inc | General Acute Care Hospital | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2012-10-10 |
| 1881945277 | Unity Physician Group | Internal Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2012-09-25 |
| 1619260411 | St Anthony Shawnee Hospital, Inc | Family Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2011-05-26 |
| 1861791022 | Michael Jerome Brzozowski | Family Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2011-03-26 |
| 1912201013 | Charli Yvonne Hull | Registered Nurse | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2011-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| Find all providers in zip 74804 | ||||
| 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 |
|---|---|---|---|---|
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1598874604 | Ralph A Schutz | Emergency Medicine | 22334 W 66th St, Suite 10, Shawnee, KS 66226-3560 | 2006-08-30 |
| 1346232394 | Joseph Carnelius Mckenna | Emergency Medicine | 1414 N Kennedy Ave, Ste 105, Shawnee, OK 74801-4700 | 2005-08-16 |
| 1215435110 | Hadley Health Services LLC | Emergency Medicine | 1920 N Broadway Ave, Shawnee, OK 74804-3722 | 2018-01-25 |
| 1962732610 | Stacy Leann Curtis | Emergency Medicine | 2029 S Gordon Cooper Dr, Bldg #17, Shawnee, OK 74801-9005 | 2009-12-31 |
| 1386816528 | Jamil H Bitar | Emergency Medicine | 1102 W Macarthur St, Er Department, Shawnee, OK 74804-1743 | 2008-03-27 |
| 1154508976 | Wade Bittle | Emergency Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2008-01-23 |
| 1841473873 | Unity Emergency Physicians, LLP | Emergency Medicine | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2007-12-13 |
| 1982746376 | Stephanie Jayne Toth | Emergency Medicine | 2801 Saratoga St, Shawnee, OK 74804-1739 | 2007-02-13 |
| 1750432043 | Chad D Willis | Emergency Medicine | 3214 Kethley Rd, Shawnee, OK 74804-9625 | 2007-01-15 |
| Find all providers in SHAWNEE | ||||
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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.