JEFFERSON EMERGENCY SERVICES, PLLC (NPI# 1720495336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720495336 |
| Entity Type | Organization |
| Organization Name | JEFFERSON EMERGENCY SERVICES, PLLC |
| Practice Address |
200 Hospital Ave Jefferson NC 28640-9244 |
| Mailing Address |
Po Box 21312 Belfast ME 04915-4110 |
| Practice Telephone | 3368460820 |
| Practice Fax Number | 7708745483 |
| Mailing Telephone | 7708745400 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | KIM H LARSEN (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 7708745400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
200 HOSPITAL AVE |
| City | JEFFERSON |
| State | NC |
| Zip Code | 28640-9244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770576704 | Deborah Lynne Siders | Nurse Anesthetist, Certified Registered | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2005-08-24 |
| 1932752763 | Dustin Paul Absher | Physical Therapist | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2019-07-21 |
| 1780248369 | Brian Branton Ulrich | Physical Therapist | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2019-04-29 |
| 1376053512 | Ashe Financial Services, LLC | Orthopaedic Surgery | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2017-10-02 |
| 1477080497 | South Atlantic Anesthesia Solutions | Anesthesiology | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2017-05-22 |
| 1295193340 | Ashe Financial Services, LLC | Family Medicine | 200 Hospital Ave, Suite 3, Jefferson, NC 28640-9244 | 2016-02-04 |
| 1376909481 | Sarah Moss Mcneil | Nurse Anesthetist, Certified Registered | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2016-01-05 |
| 1487022372 | Kathleen Miller | Nurse Practitioner | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2015-09-09 |
| 1952739450 | Novant Medical Group Inc | Internal Medicine | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2013-10-18 |
| 1619217551 | Orthocarolina, Pa | Physician Assistant | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2013-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1902466543 | Emily Claire Wilson | Physical Therapist | 419 East Main Street Unit 4, Jefferson, NC 28640 | 2019-06-17 |
| 1457824393 | Miranda Lyalls Jordan | Nurse Practitioner | 310 Hospital Ave, Jefferson, NC 28640 | 2019-01-03 |
| 1659859247 | Molly Reynolds | Physical Therapist | 419 E. Main St. Unit 4, Jefferson, NC 28640 | 2018-08-06 |
| 1548644040 | Amanda Stroud | Dentist | 225 Court Street, Jefferson, NC 28640 | 2015-07-14 |
| 1710388772 | Schuster Physical Therapy Inc. | Clinic/Center | 419 E. Main St., Jefferson, NC 28640 | 2014-09-09 |
| 1437589199 | Rebecca Scoggin Clark | Nurse Practitioner | 413 Mcconnell Street, Jefferson, NC 28640 | 2013-11-16 |
| 1093029498 | Robin Arlene Edwards | Nurse Practitioner | 151 Medical Park Dr., Jefferson, NC 28640 | 2010-07-28 |
| 1659516979 | Patricia Ann Franklin | Physical Therapist | 125 Colvard Farm Rd, Unit 7, Jefferson, NC 28640 | 2008-12-16 |
| 1730363342 | Ashe County Public Schools | Local Education Agency (LEA) | 320 South Street, Jefferson, NC 28640 | 2007-12-19 |
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| 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 |
|---|---|---|---|---|
| 1487898441 | Leslie Lindley | Emergency Medicine | 530 Honore Dr, Jefferson, LA 70121-1605 | 2009-04-21 |
| 1699916684 | Jacques Francois Ancelet | Emergency Medicine | 633 Julius Ave, Jefferson, LA 70121-1615 | 2009-03-20 |
| 1003950825 | Regional Firstcare | Emergency Medicine | 528 Panther Drive, Jefferson, GA 30549 | 2007-02-16 |
| 1689620049 | Howard D Kessler | Emergency Medicine | 1125 Madison Street, Capital Region Medical Center, Jefferson, MO 65101 | 2006-05-26 |
| 1952382673 | Kenneth R. Friday | Emergency Medicine | 1660 N Ave, Jefferson, IA 50129-7600 | 2005-11-09 |
| 1669557450 | Staci Anne Braun | Emergency Medicine | 200 Hospital Ave, Jefferson, NC 28640 | 2006-10-27 |
| 1316045800 | Ashe Memorial Hospital Inc | Emergency Medicine | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758430 | Express Test Nc Pllc | Emergency Medicine | 110 Swift Ave, Durham, NC 27705-4880 | 2020-10-21 |
| 1164021051 | Onespotmd Primary and Urgent Care Pllc | Emergency Medicine | 2017 Central Ave Ste 103, Charlotte, NC 28205-5388 | 2020-10-21 |
| 1750909032 | The Presbyterian Hospital | Emergency Medicine | 125 Queens Rd Ste 500, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1457988586 | Morgan Mazakas Penzler | Emergency Medicine | 1000 Blythe Blvd Ste 600, Charlotte, NC 28203-5812 | 2020-03-26 |
| 1770114555 | Carolina Neuropathy Centers, Pllc | Emergency Medicine | 21000 Torrence Chapel Rd Ste 101, Cornelius, NC 28031-6874 | 2020-01-30 |
| 1386291185 | Maurice Andre Paquette II | Emergency Medicine | 2301 Erwin Rd # Dumc3096, Durham, NC 27705-4699 | 2019-08-26 |
| 1205489275 | Rex Hospital Inc | Emergency Medicine | 6715 Mccrimmon Pkwy Ste 201, Cary, NC 27519-1916 | 2019-07-18 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1538620737 | Andrew Yde | Emergency Medicine | Cmc/department of Emergency Medicine, 1000 Blythe Blvd., Charlotte, NC 28203-5812 | 2019-03-29 |
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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.