EMERGE MEDSTAFFING LLC (NPI# 1780167841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780167841 |
| Entity Type | Organization |
| Organization Name | EMERGE MEDSTAFFING LLC |
| Practice Address |
30 E 15th St Chicago Heights IL 60411-3459 |
| Mailing Address |
Po Box 786 Flossmoor IL 60422-0786 |
| Practice Telephone | 3122061064 |
| Practice Fax Number | 7089912630 |
| Mailing Telephone | 3122061064 |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |
| Authorized Official Name | RICHARD WATSON (PRESIDENT) |
| Authorized Official Telephone | 3122061064 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EMERGE MEDSTAFFING LLC | 4 Eden Oaks Ln, Flossmoor, IL 60422-1680 |
| Street Address |
30 E 15TH ST |
| City | CHICAGO HEIGHTS |
| State | IL |
| Zip Code | 60411-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376523647 | Ramesh Soundararajan | Internal Medicine | 30 E 15th St, Suite 201, Chicago Heights, IL 60411-3459 | 2006-01-20 |
| 1548638299 | Pushpa Soundararajan | Dietitian, Registered | 30 E 15th St, Suite 201, Chicago Heights, IL 60411-3459 | 2015-09-11 |
| 1629331087 | Richard Michael Louissaint | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2012-06-20 |
| 1457629966 | St James Hospital United States Catholic Conference | Internal Medicine | 30 E 15th St, Suite # 308, Chicago Heights, IL 60411-3459 | 2011-12-12 |
| 1871885731 | Amit Dhingra | Pharmacist | 30 E 15th St, Suite 204, Chicago Heights, IL 60411-3459 | 2011-05-11 |
| 1295055291 | Tilemahos D Spyratos | Internal Medicine | 30 E 15th St, Ste 207, Chicago Heights, IL 60411-3459 | 2010-06-02 |
| 1700013166 | Raghuvansh Kumar M.d;s.c | Physical Medicine & Rehabilitation | 30 E 15th St, Suite 312, Chicago Heights, IL 60411-3459 | 2009-06-12 |
| 1831324789 | Heather Ines Dieperink | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2009-05-21 |
| 1821237199 | Mdrx Medical,p.c. | Family Medicine | 30 E 15th St, Suite 308, Chicago Heights, IL 60411-3459 | 2009-02-11 |
| 1750532065 | Briana N Decuir | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2008-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| 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 |
|---|---|---|---|---|
| 1568881225 | Cherian Issac Plamoottil | Emergency Medicine | 211 Dixie Hwy, Chicago Heights, IL 60411-1696 | 2014-04-10 |
| 1629331087 | Richard Michael Louissaint | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2012-06-20 |
| 1245597210 | Gregory George Olmsted | Emergency Medicine | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2012-04-16 |
| 1841580438 | Fairouz Carpizo Codina | Emergency Medicine | 1423 Chicago Rd, Unit 3207, Chicago Heights, IL 60411-3400 | 2011-04-15 |
| 1831324789 | Heather Ines Dieperink | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2009-05-21 |
| 1225272172 | Jessen Dean Schiebout | Emergency Medicine | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2009-04-22 |
| 1114168929 | Emergency Medicine Physicians of Cook County LLC | Emergency Medicine | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2009-03-09 |
| 1750532065 | Briana N Decuir | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2008-10-06 |
| 1154583482 | Catherine M Baxtrom | Emergency Medicine | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 2008-06-27 |
| 1245400068 | Avery Luh-yuan Kong | Emergency Medicine | 1423 Chicago Rd, Emergency Department, Chicago Heights, IL 60411-3400 | 2008-03-07 |
| Find all providers in CHICAGO HEIGHTS | ||||
| City | CHICAGO HEIGHTS |
| Zip Code | 60411 |
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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.