MIDWEST EMERGENCY MEDICINE, INC. (NPI# 1801383278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801383278 |
Entity Type | Organization |
Organization Name | MIDWEST EMERGENCY MEDICINE, INC. |
Practice Address |
520 S 7th Street, Er Vincennes IN 47591-1038 |
Practice Telephone | 8128853810 |
Practice Fax Number | 8128853811 |
Mailing Telephone | 8128853810 |
Mailing Fax Number | 8128853811 |
Enumeration Date | 2018-04-20 |
Last Update Date | 2018-04-20 |
Authorized Official Name | LANCE T PAYTON (PRESIDENT/CEO) |
Authorized Official Telephone | 8128853810 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
Street Address |
520 S 7TH STREET, ER |
City | VINCENNES |
State | IN |
Zip Code | 47591-1038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720688484 | Mary Alsakka | Pharmacist | 602 Kimmell Rd, Vincennes, IN 47591 | 2020-10-30 |
1265053854 | Hamilton Center Inc. | Clinic/Center | 1433 Willow Street, Vincennes, IN 47591 | 2020-05-05 |
1134690654 | Deaconess Hospital Inc | Durable Medical Equipment & Medical Supplies | 516 S. 9th St, Vincencces, IN 47591 | 2018-12-10 |
1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
1033566203 | Jennifer Hoyt | Nurse Practitioner | 1813 Willow St Ste 3a, Vincennes, IN 47591 | 2016-05-18 |
1821469602 | Riverside Family Clinic, Inc | Nurse Practitioner | 328 N 2nd St, Suite 102, Vincennes, IN 47591 | 2015-10-19 |
1902205594 | Kathleen Garner | Physical Therapy Assistant | 3901 Old Bruceville Road, Vincennes, IN 47591 | 2014-08-19 |
1467703645 | Molly Ann Barth | Speech-Language Pathologist | 3801 Old Bruceville Road, Vincennes, IN 47591 | 2012-09-27 |
1083965776 | Tiffany Renee Neukam | Occupational Therapist | 1900 College Ave., Vincennes, IN 47591 | 2012-09-21 |
1396057089 | Jericho Lynn Quick | Optometrist | 1813 Willow St Ste 2a, Vincennes, IN 47591 | 2010-07-09 |
Find all providers in zip 47591 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346871217 | Nw Indiana Ep, LLC | Emergency Medicine | 7904 Cabela Dr, Hammond, IN 46324-2950 | 2020-01-30 |
1285994434 | Aaron Brooks Crofoot | Emergency Medicine | 229 W North Shore Dr, South Bend, IN 46617-1142 | 2012-05-22 |
1689842262 | James Scott Frasure | Emergency Medicine | 4030 W Breezewood Ct, Bloomington, IN 47404-9132 | 2008-02-15 |
1831290956 | Suzanne M Coleman | Emergency Medicine | 3124 E State Blvd Ste 2b, Fort Wayne, IN 46805-4763 | 2006-09-25 |
1194772681 | Paula Lange | Emergency Medicine | 3252 Tantara Bnd, Carmel, IN 46032-8733 | 2006-05-28 |
1982658886 | Robert L Goddard Jr. | Emergency Medicine | 817 W Rosewood Dr, Bloomington, IN 47404-1849 | 2006-05-22 |
1295796985 | Thomas S Spencer | Emergency Medicine | 104 E Culver Rd, Suite 103, Knox, IN 46534-2216 | 2006-03-31 |
1609844166 | Joseph V Lazzara | Emergency Medicine | 8633 N State Road 550, Bruceville, IN 47516-6096 | 2006-03-10 |
1427048099 | Mark M Walsh | Emergency Medicine | 801 E Lasalle, Emergency Department, South Bend, IN 46617-2814 | 2005-10-25 |
1417558271 | Daviess County Hospital | Emergency Medicine | 1314 E Walnut St, Washington, IN 47501-2860 | 2020-11-06 |
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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.