MARTELLA EMERGENCY GROUP LLC (NPI# 1851688774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851688774 |
| Entity Type | Organization |
| Organization Name | MARTELLA EMERGENCY GROUP LLC |
| Practice Address |
2305 Georgia St Louisiana MO 63353-2559 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 5737545531 |
| Mailing Telephone | 3373541153 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | LISHA C FALK (VP OF CONTRACTING) |
| Authorized Official Telephone | 8008939698 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1851688774 | 05 |
| Street Address |
2305 GEORGIA ST |
| City | LOUISIANA |
| State | MO |
| Zip Code | 63353-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023084290 | Aaron T Miller | Family Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2006-02-27 |
| 1932742012 | Erin Collette Anderson | Nurse Practitioner | 2305 Georgia St, Louisiana, MO 63353-2559 | 2019-10-22 |
| 1427409713 | Northeast Missouri Medical Providers LLC | Emergency Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2016-06-28 |
| 1538513072 | Pike County Memorial Hospital | Family Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2016-04-21 |
| 1225499866 | Rachel Harris | Nurse Practitioner | 2305 Georgia St, Louisiana, MO 63353-2559 | 2016-03-09 |
| 1073880480 | Ssm Depaul Medical Group, Inc. | Internal Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2011-11-30 |
| 1700108370 | Ronald C Myers | Emergency Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2010-02-23 |
| 1184955700 | Tarrah A Hickerson | Social Worker | 2305 Georgia St, Louisiana, MO 63353-2559 | 2010-01-21 |
| 1871738823 | Pike Emergency Medicine LLC | Emergency Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2008-12-04 |
| 1033300488 | Casey Amanda Jennings | Family Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2007-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063715845 | Austin Arness Brown | Physical Therapist | 2305 Georgia Street, Louisiana, MO 63353 | 2010-12-16 |
| 1962705749 | Margaret Therese Marden | Physical Therapist | 2305 West Georgia Street, Louisiana, MO 63353 | 2010-12-16 |
| 1487869582 | George Michael Vallar | Dentist | 211 Georgia St, Louisiana, MO 63353 | 2007-05-11 |
| 1558437350 | Frank T Thomalla IIi | Dentist | 3410 Georgia Street, Louisiana, MO 63353 | 2006-11-27 |
| 1346333572 | Stephen Francis Justice | Family Medicine | 2305 Georgia, Louisiana, MO 63353 | 2006-10-02 |
| 1821075672 | Mohammad Asif Waziri | Emergency Medicine | 2305 Gerorgia St, Louisiana, MO 63353 | 2005-12-22 |
| 1235432022 | Angela Theresa Gardner | Physical Therapist | 2305 Georgia Street, Louisiana, MO 63353 | 2010-12-16 |
| 1326061680 | Howard B. Schwadron, D.m.d. P.C. | Dentist | 801 Georgia St, Louisiana, MO 63353-1613 | 2006-07-26 |
| 1700800901 | Howard B. Schwadron | Dentist | 801 Georgia St, Louisiana, MO 63353-1613 | 2006-07-27 |
| 1205971132 | Family Health Pharmacies, Inc. | Durable Medical Equipment & Medical Supplies | 301 Georgia St, Louisiana, MO 63353-1717 | 2007-02-20 |
| Find all providers in zip 63353 | ||||
| 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 |
|---|---|---|---|---|
| 1821075672 | Mohammad Asif Waziri | Emergency Medicine | 2305 Gerorgia St, Louisiana, MO 63353 | 2005-12-22 |
| 1427409713 | Northeast Missouri Medical Providers LLC | Emergency Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2016-06-28 |
| 1700108370 | Ronald C Myers | Emergency Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2010-02-23 |
| 1871738823 | Pike Emergency Medicine LLC | Emergency Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2008-12-04 |
| 1013073824 | Sudhir Kapoor | Emergency Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2006-12-28 |
| 1376632851 | Laura J Mitchell | Emergency Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2006-10-12 |
| 1982667986 | Andrew Hyatt | Emergency Medicine | 2305 Georgia St, Louisiana, MO 63353-2559 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053972349 | Alanna Diamond | Emergency Medicine | One Hospital Drive Emergency Medicine M652 Dc029.10, Columbia, MO 65212-0001 | 2019-06-26 |
| 1013573146 | Michael Habhab | Emergency Medicine | 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212-0001 | 2019-05-14 |
| 1043730716 | Ian James Becker | Emergency Medicine | 1 Hospital Dr # Dc029.10, Columbia, MO 65212-1000 | 2017-06-23 |
| 1649628454 | Sphere Medical Group | Emergency Medicine | 916 Olive St Fl 4, Saint Louis, MO 63101-1459 | 2016-06-02 |
| 1487002523 | Christopher Adam Waranch | Emergency Medicine | University of Missouri Columbia, Department of Emergency Medicine, Columbia, MO 65212-0001 | 2016-05-31 |
| 1306220488 | Andrea Marie-gioia Spangler | Emergency Medicine | 1235 E Cherokee St Dept Of, Springfield, MO 65804-2203 | 2015-07-17 |
| 1205219045 | Maria Christina Creel-bulos | Emergency Medicine | 660 South Euclid Avenue Cb 8072, St Louis, MO 63110 | 2015-06-29 |
| 1669853230 | Megan Litzau | Emergency Medicine | 615 S New Ballas Road, St Louis, MO 63141 | 2015-06-09 |
| 1366829426 | Bigeye Emergency Physicians LLC | Emergency Medicine | 10 South Hospital Deive, Fulton, MO 65251 | 2015-04-28 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
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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.