APPALACHIAN EMERGENCY PHYSICIANS (NPI# 1669781993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669781993 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN EMERGENCY PHYSICIANS |
| Practice Address |
312 Hospital Drive Clintwood VA 24228-0001 |
| Mailing Address |
Po Box 534964 Atlanta GA 30353-4950 |
| Practice Telephone | 8669165259 |
| Practice Fax Number | 2319224030 |
| Mailing Telephone | 8669165259 |
| Mailing Fax Number | 2319224030 |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2011-02-22 |
| Authorized Official Name | CARL S KILGORE (PRESIDENT OF BLUE RIDGE MEDICAL MGT) |
| Authorized Official Telephone | 8669165259 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100142630 | 05 | |
| NC | 6999717 | 05 | |
| VA | 1669781993 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376852673 | Appalachian Emergency Physicians | Emergency Medicine | 245 Medical Park Drive, Marion, VA 24354-6587 | 2010-10-04 |
| 1689985863 | Appalachian Emergency Physicians | Emergency Medicine | 1501 West Elk Avenue, Elizabethton, TN 37643-2874 | 2010-06-23 |
| 1508231572 | Appalachian Emergency Physicians | Emergency Medicine | 1021 W Oakland Ave, Suite 201, Johnson City, TN 37604-2191 | 2015-12-02 |
| 1932451291 | Appalachian Emergency Physicians | Emergency Medicine | 100 Greenway Cir, Erwin, TN 37650-2177 | 2012-10-11 |
| 1912278508 | Appalachian Emergency Physicians | Emergency Medicine | 16000 Johnston Memorial Dr, Abingdon, VA 24211-7659 | 2012-01-13 |
| 1316240831 | Appalachian Emergency Physicians | Emergency Medicine | 1901 S Shady St, Mountain City, TN 37683-2021 | 2010-12-07 |
| 1932402393 | Appalachian Emergency Physicians | Emergency Medicine | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2010-12-07 |
| 1144523663 | Appalachian Emergency Physicians | Emergency Medicine | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 2010-12-07 |
| 1831492255 | Appalachian Emergency Physicians | Emergency Medicine | 300 Med Tech Pkwy, Johnson City, TN 37604-2277 | 2010-12-07 |
| 1750690087 | Appalachian Emergency Physicians | Emergency Medicine | 58 Carroll Street, Lebanon, VA 24266-0001 | 2010-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Appalachian Emergency Physicians | 400 North State of Franklin Road, Johnson City, Tennessee 37604-0004 |
| Street Address |
312 HOSPITAL DRIVE |
| City | CLINTWOOD |
| State | VA |
| Zip Code | 24228-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326060849 | Natasha Kennedy | Dietitian, Registered | 312 Hospital Drive, Clintwood, VA 24228 | 2006-07-24 |
| 1043234149 | Janice Payne | Nurse Practitioner | 312 Hospital Drive, Clintwood, VA 24226-0312 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851816953 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5451 Dickenson Hwy, Clintwood, VA 24228 | 2017-08-09 |
| 1669902243 | Mountain States Health Alliance | Hospice Care, Community Based | 312 Hospital Dr Suite 1b, Clintwood, VA 24228 | 2017-06-15 |
| 1316476211 | Mountain States Health Alliance | Home Health | 312 Hospital Dr Suite 1a, Clintwood, VA 24228 | 2017-06-06 |
| 1134667009 | Amy Meade | Pharmacist | 342 Main Street, Clintwood, VA 24228 | 2017-02-10 |
| 1881087385 | Family Preservation Services, Inc | Community/Behavioral Health | 1381 Rose Ridge Ct, Clintwood, VA 24228 | 2015-03-09 |
| 1477951515 | Tauna Gulley | Nurse Practitioner | 233 Chase Street, Suite 100, Clintwood, VA 24228 | 2014-12-05 |
| 1740696152 | Family Preservation Services, Inc. | Community/Behavioral Health | 5123 Dickenson Highway, Clintwood, VA 24228 | 2014-07-07 |
| 1962816884 | Family Preservation Services, Inc | Community/Behavioral Health | 5123 & 5127 Dickenson Highway, Clintwood, VA 24228 | 2014-06-18 |
| 1003163643 | Family Preservation Services, Inc | Community/Behavioral Health | 150 Elementary Circle, Clintwood, VA 24228 | 2012-08-14 |
| 1265739122 | Family Preservation Services, Inc. | Community/Behavioral Health | Technology Park Drive, Clintwood, VA 24228 | 2011-02-11 |
| Find all providers in zip 24228 | ||||
| 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 |
|---|---|---|---|---|
| 1518908169 | Robert J Gaudet | Emergency Medicine | 1773 Rose Ridge, Clintwood, VA 24228 | 2006-06-08 |
| 1053425645 | Southwest Virginia Emergency Physicians | Emergency Medicine | 1 Hospital Drive, Clintwood, VA 24228 | 2006-08-19 |
| 1891706008 | Emcare Physician Providers Inc. | Emergency Medicine | 1 Hospital Drive, Clintwood, VA 24228 | 2006-08-11 |
| 1811934698 | Rimon Ibrahim | Emergency Medicine | 312 Hospital Dr, Clintwood, VA 24228-6786 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734437 | Nh Digital Health Services, LLC | Emergency Medicine | 8650 Sudley Rd Ste 411, Manassas, VA 20110-4416 | 2020-09-14 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1265950372 | True North Health Navigation LLC | Emergency Medicine | 301 Virginia St Unit 609, Richmond, VA 23219-4172 | 2017-09-08 |
| 1780102608 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 105 Cameron Rd, Forest, VA 24551-1342 | 2017-08-30 |
| 1346763604 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 1330 Armory Drive, Franklin, VA 23851-2420 | 2017-07-19 |
| 1528581063 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 1583 N Main St Ste A, Marion, VA 24354-4317 | 2017-07-17 |
| 1245765247 | John Coles Wiggins IIi | Emergency Medicine | Emergency Medicine (division of Ultrasound), 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-04-27 |
| 1225563679 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 4903 Nine Mile Rd, Richmond, VA 23223-5738 | 2017-04-24 |
| 1639602345 | Vishal Kant Goswami | Emergency Medicine | 4320 Seminary Rd Dept Of, Alexandria, VA 22304-1535 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
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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.