APPALACHIAN EMERGENCY PHYSICIANS (NPI# 1750690087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750690087 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN EMERGENCY PHYSICIANS |
| Practice Address |
58 Carroll Street Lebanon VA 24266-0001 |
| Mailing Address |
Po Box 534964 Atlanta GA 30353-4950 |
| Practice Telephone | 2768838000 |
| Practice Fax Number | 2768838101 |
| 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 | 7100142690 | 05 | |
| VA | 1750690087 | 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 |
| 1669781993 | Appalachian Emergency Physicians | Emergency Medicine | 312 Hospital Drive, Clintwood, VA 24228-0001 | 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 |
58 CARROLL STREET |
| City | LEBANON |
| State | VA |
| Zip Code | 24266-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003730 | Russell County Medical Center, Inc | General Acute Care Hospital | 58 Carroll Street, Lebanon, VA 24266 | 2005-06-17 |
| 1104321405 | Amanda Elizabeth Loughlin | Nurse Practitioner | 58 Carroll Street, Lebanon, VA 24266 | 2018-03-28 |
| 1659897569 | Ashley Jane Jenkins | Nurse Practitioner | 58 Carroll Street, Suite 4, Lebanon, VA 24266 | 2017-08-22 |
| 1689043952 | Kelsey Wise Mccoy | Physician Assistant | 58 Carroll Street, Lebanon, VA 24266 | 2015-09-17 |
| 1790167351 | Blue Ridge Medical Management | Surgery | 58 Carroll Street, Suite 2d, Lebanon, VA 24266 | 2015-06-19 |
| 1407282098 | Meeradevi Sudarsanan | Nurse Practitioner | 58 Carroll Street, Suite 2, Lebanon, VA 24266 | 2013-09-16 |
| 1437462025 | Blue Ridge Medical Management Corporation | Surgery | 58 Carroll Street, Ste 2, Lebanon, VA 24266-0000 | 2010-07-23 |
| 1073782900 | Mountain States Health Alliance | Anesthesiology | 58 Carroll Street, Lebanon, VA 24266-4510 | 2008-02-25 |
| 1972771236 | Mountain States Health Alliance | Anesthesiology | 58 Carroll Street, Lebanon, VA 24266 | 2008-02-20 |
| 1871761726 | Mountain States Health Alliance | Emergency Medicine | 58 Carroll Street, Lebanon, VA 24266-4510 | 2008-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| Find all providers in zip 24266 | ||||
| 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 |
|---|---|---|---|---|
| 1316479496 | Sormeh Harounzadeh | Emergency Medicine | 65 On The Grn, Lebanon, PA 17042-9473 | 2017-03-29 |
| 1518252964 | Medexpress Urgent Care, PC - Pennyslvania | Emergency Medicine | 1010 W Crestview Dr, Lebanon, PA 17042-7415 | 2011-06-14 |
| 1891929527 | James Michael Mcweeney | Emergency Medicine | 520 Mcclure Rd, Lebanon, OH 45036-9317 | 2009-05-09 |
| 1588762611 | Karl C Lewis | Emergency Medicine | 58 Carroll and Tate Streets, Call Box 3600, Lebanon, VA 24266 | 2006-09-20 |
| 1326141672 | Norman Rexrode Jr. | Emergency Medicine | 3600 Tate and Carroll Streets, Lebanon, VA 24266 | 2006-09-05 |
| 1316051683 | Scott P Giles | Emergency Medicine | 115 Winwood Dr Ste 205, Lebanon, TN 37087-1399 | 2006-08-17 |
| 1326064460 | Good Samaritan Physician Services | Emergency Medicine | 4th and Willow Streets, Lebanon, PA 17042-0300 | 2006-07-14 |
| 1265468169 | Russell Hal Mcune | Emergency Medicine | 35632 Brewster Rd, Lebanon, OR 97355-9452 | 2006-06-23 |
| 1639140585 | Karen L Oldham | Emergency Medicine | 2395 Cedar Grove Rd, Lebanon, TN 37087-7991 | 2006-01-30 |
| 1255328787 | Andrew Winge | Emergency Medicine | 525 N Santiam Hwy, Lebanon, OR 97355-4363 | 2005-09-30 |
| Find all providers in LEBANON | ||||
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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.