BRITTLEBANK ACUTE TRAUMA SPECIALISTS LLC


Address: 3901 S 7th St, Terre Haute, IN 47802-5709
Phone: 4694012386

BRITTLEBANK ACUTE TRAUMA SPECIALISTS LLC (NPI# 1700324720) 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) 1700324720
Entity Type Organization
Organization Name BRITTLEBANK ACUTE TRAUMA SPECIALISTS LLC
Practice Address 3901 S 7th St
Terre Haute
IN 47802-5709
Mailing Address 13737 Noel Rd Ste 1600
Dallas
TX 75240-1374
Practice Telephone 4694012386
Mailing Telephone 4694012386
Enumeration Date 2017-02-09
Last Update Date 2017-02-09
Authorized Official Name ANDREW MULVEY (OFFICER)
Authorized Official Telephone 4694012386
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0127X Surgery
Specialization: Trauma Surgery
Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Office Location

Street Address 3901 S 7TH ST
City TERRE HAUTE
State IN
Zip Code 47802-5709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750374419 Roland M Kohr Pathology 3901 S 7th St, Terre Haute, IN 47802-5709 2005-08-29
1982233359 Bobette Makoyi Nurse Anesthetist, Certified Registered 3901 S 7th St, Terre Haute, IN 47802-5709 2020-04-07
1528697489 Niko Mccarter Nurse Anesthetist, Certified Registered 3901 S 7th St, Terre Haute, IN 47802-5709 2020-04-03
1083244941 Lucidus Diagnostics LLC Pathology 3901 S 7th St, Terre Haute, IN 47802-5709 2020-01-20
1770129066 Terre Haute Anesthesiology LLC Nurse Anesthetist, Certified Registered 3901 S 7th St, Terre Haute, IN 47802-5709 2019-11-21
1033777263 Gara Sibley Nurse Anesthetist, Certified Registered 3901 S 7th St, Terre Haute, IN 47802-4299 2019-06-03
1619442613 Samuel Irving Nurse Anesthetist, Certified Registered 3901 S 7th St, Terre Haute, IN 47802-5709 2018-10-05
1073002390 Rebecca Maupin Nurse Anesthetist, Certified Registered 3901 S 7th St, Terre Haute, IN 47802-5709 2018-05-02
1861900128 Audrea Lauren Sisk Nurse Anesthetist, Certified Registered 3901 S 7th St, Terre Haute, IN 47802-5709 2018-01-19
1669982070 Shannon Welsh Nurse Practitioner 3901 S 7th St, Terre Haute, IN 47802-5709 2017-10-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184242364 Sowjanya Gunukula Dentist 3359 S Us Hwy 41, Terre Haute, IN 47802 2020-07-14
1366005027 Irma D Davis Lmft Marriage & Family Therapist 1400 South Pugh Drive, Suite #3, Terre Haute, IN 47802 2019-04-18
1255892543 Darcie Jo Antony Dietitian, Registered 3901 South 7th St, Dietitian's Office 4th Floor, Terre Haute, IN 47802 2019-03-28
1548726003 James Brian Levenson Nurse Practitioner 670 Margaret Dr, Terre Haute, IN 47802 2019-02-20
1972011815 Wellness for Life Medical LLC Clinic/Center 3487 S 4th St, Terre Haute, IN 47802 2018-01-12
1992211965 Megan Elizabeth Marietta Nurse Practitioner 3487 S 4th Street, Terre Haute, IN 47802 2017-12-28
1396187944 Marc Keilman Pharmacist 1240 E Hook Dr, Terre Haute, IN 47802 2013-07-24
1043563364 Indiana Hearing LLC Hearing Aid Equipment 3181 S 3rd Pl, Terre Haute, IN 47802 2012-10-24
1619241783 Michael James Elkins Shanks Urology 3401 S 4th St, Terre Haute, IN 47802 2012-03-06
1073890208 Christopher Allan Blila Nurse Practitioner 4700 Bureau Road South, Terre Haute, IN 47802 2011-11-16
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215132907 Janie L Orrington-myers Surgery 3903 S 7th St Ste 2d, Terre Haute, IN 47802-5710 2007-06-20
1164523783 Francis V. Tapia Surgery 3311 S 7th St, Terre Haute, IN 47802-4014 2006-09-26
1144275819 Noaman Noshi Botros Surgery 1429 N 8th St, Terre Haute, IN 47807-1136 2006-05-23
1619966462 David Andrew Southwick Surgery 5969 S Ernest St, Terre Haute, IN 47802-8111 2005-10-14
1063404259 Custodio L. Lim Surgery 2235 Wabash Ave, Terre Haute, IN 47807-3330 2005-08-16
1396749966 Karen Ann Tisinai Surgery 1429 N 6th St, Terre Haute, IN 47807-1037 2005-06-10
1548264823 Mark O Lynch Surgery 1818 N 6th St, Terre Haute, IN 47804-4021 2005-06-02
1992124994 Nicholas C Lynch Surgery 1818 N 6th St, Terre Haute, IN 47804-4021 2014-04-08
1487910626 Brandon Frank Lynch Surgery 1818 N 6th St, Terre Haute, IN 47804-4021 2012-04-02
1104137603 Rebecca Elizabeth Lynch Surgery 1818 N 6th St, Terre Haute, IN 47804-4021 2010-06-29
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City TERRE HAUTE
Zip Code 47802

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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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