ILLINOIS/INDIANA EM-I MEDICAL SERVICES, SC (NPI# 1700114824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700114824 |
| Entity Type | Organization |
| Organization Name | ILLINOIS/INDIANA EM-I MEDICAL SERVICES, SC |
| Practice Address |
1451 N Gardner St Scottsburg IN 47170-7751 |
| Mailing Address |
Po Box 37721 Philadelphia PA 19101-5021 |
| Practice Telephone | 8127523456 |
| Mailing Telephone | 8007321066 |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2009-12-01 |
| Authorized Official Name | DR. DOUGLAS P WEBSTER (OWNER) |
| Authorized Official Telephone | 8007321066 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619379534 | Illinois/indiana Em-i Medical Services, Sc | Physician Assistant | 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 2014-09-23 |
| 1841511995 | Illinois/indiana Em-i Medical Services, Sc | Nurse Practitioner | 2100 Madison Ave, Granite City, IL 62040-4701 | 2010-06-11 |
| 1457503591 | Illinois/indiana Em-i Medical Services, Sc | Physician Assistant | 1400 W Park St, Urbana, IL 61801-2334 | 2008-10-21 |
| Street Address |
1451 N GARDNER ST |
| City | SCOTTSBURG |
| State | IN |
| Zip Code | 47170-7751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154396604 | Scott County Memorial Hospital | General Acute Care Hospital | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2006-02-20 |
| 1386088326 | Rhn Scott Memorial Hospital LLC | Medicare Defined Swing Bed Unit | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2013-04-22 |
| 1831435247 | Rhn Scott Memorial Hospital LLC | Anesthesiology | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2012-12-13 |
| 1013251594 | Rhn Scott Memorial Hospital LLC | General Acute Care Hospital | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2012-11-21 |
| 1952639890 | Scott Physician Group LLC | Anesthesiology | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2009-12-04 |
| 1497883367 | Scott Memorial Hospital | Anesthesiology | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2007-03-01 |
| 1114950581 | Bio-medical Applications of Indiana, Inc. | Clinic/Center | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2006-07-09 |
| 1568404515 | Martin William Brooks | Emergency Medicine | 1451 N Gardner St, Phoenix Emergency Services of Scott County, LLC, Scottsburg, IN 47170-7751 | 2006-06-12 |
| 1497794606 | John Croasdell | Emergency Medicine | 1451 N Gardner St, Phoenix Emergency Services of Scott County, LLC, Scottsburg, IN 47170-7751 | 2006-06-05 |
| 1740235936 | Dsi Renal Inc | Clinic/Center | 1451 N Gardner St, Scottsburg, IN 47170-7751 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962065565 | Mfdc of Indiana, Inc | Dentist | 1606 W Mcclain Ave, Scottsburg, IN 47170 | 2019-04-18 |
| 1003211392 | Forefront Dermatology, S.c. | Dermatology | 1473 N Gardner St Ste A, C/o Scott Memorial Hospital, Scottsburg, IN 47170 | 2014-10-29 |
| 1154750800 | Kimberly Burns | Occupational Therapy Assistant | 545 W. Moonglo Rd, Scottsburg, IN 47170 | 2013-11-04 |
| 1700127800 | Janet M Buhse Md PC | Family Medicine | 941 W Mcclain Ave Ste C, Scottsburg, IN 47170 | 2013-03-14 |
| 1972826402 | Harold H Rumley | Counselor | 75 North First Street, Scottsburg, IN 47170 | 2010-03-11 |
| 1245497213 | Samaritan Behavioral Healthcare | Counselor | 969 W Mcclain Ave, Suite B, Scottsburg, IN 47170 | 2008-05-19 |
| 1801061858 | Gardner Street Emergency Physicians | Emergency Medicine | 1451 N. Gardner Street, Scottsburg, IN 47170 | 2008-04-29 |
| 1689859621 | Samaritan Behavioral Healthcare | Counselor | 969 W. Mcclain Ave, Suite B, Scottsburg, IN 47170 | 2008-01-09 |
| 1760674998 | Darshana Patel | Internal Medicine | 1467 Scott Valley Dr, Scottsburg, IN 47170 | 2007-08-12 |
| 1669663977 | Wwindell Go Ellorimo | Physical Therapist | 545 Moonglo Rd, Scottsburg, IN 47170 | 2007-08-05 |
| Find all providers in zip 47170 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912995846 | Kristy Lynn Hulen | Nurse Practitioner | 1461 N Gardner St, Scottsburg, IN 47170-7751 | 2005-10-13 |
| 1568458610 | Debra Marie Zimmer | Nurse Practitioner | 6711 E Mount Eden Rd, Scottsburg, IN 47170 | 2005-09-23 |
| 1306233838 | Donna Carter | Nurse Practitioner | 1428 N Gardner St, Scottsburg, IN 47170-8720 | 2015-04-22 |
| 1881951077 | First Urology, Psc | Nurse Practitioner | 1473 N Gardner St, Scottsburg, IN 47170-7751 | 2012-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769948 | Amy Renee Bradley | Nurse Practitioner | 10404 Cerulean Dr, Noblesville, IN 46060-7676 | 2020-10-27 |
| 1083213607 | Medihealth Primary Care LLC | Nurse Practitioner | 2345 W Franklin St Ste 102, Evansville, IN 47712-5100 | 2020-10-23 |
| 1891394599 | Laury Farrell | Nurse Practitioner | 6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410 | 2020-10-22 |
| 1255930657 | Caitlyn Shuck | Nurse Practitioner | 2641 Marsh Hawk Dr, Greenwood, IN 46143-5749 | 2020-10-19 |
| 1730787599 | Crystal Neal | Nurse Practitioner | 4430 Keeneland Ln Unit 202, Fort Wayne, IN 46845-1985 | 2020-10-14 |
| 1285240390 | Amy D Perry | Nurse Practitioner | 728 N Cross Pointe Blvd # 102, Evansville, IN 47715-9163 | 2020-09-23 |
| 1013523588 | Amy Deion Stitt | Nurse Practitioner | 738 E 200 N, Warsaw, IN 46582-4658 | 2020-09-21 |
| 1881200152 | Positive Energy Health Center LLC | Nurse Practitioner | 5023 E 56th St Ste 130, Indianapolis, IN 46226-1471 | 2020-09-21 |
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1821615485 | Denise Michelle Alexander | Nurse Practitioner | 815 West 2nd Street, Bloomington, IN 47403-2212 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBURG |
| Zip Code | 47170 |
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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.