FARMINGTON EMERGENCY GROUP LLC (NPI# 1992906341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992906341 |
| Entity Type | Organization |
| Organization Name | FARMINGTON EMERGENCY GROUP LLC |
| Practice Address |
1212 Weber Road Farmington MO 63640-3309 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 5737564581 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2007-05-31 |
| 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 | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1212 WEBER ROAD |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407898208 | Farmington Missouri Hospital Company LLC | Internal Medicine | 1212 Weber Road, Farmington, MO 63640 | 2006-06-13 |
| 1538199112 | Farmington Missouri Hospital Company LLC | Clinic/Center | 1212 Weber Road, Farmington, MO 63640 | 2006-07-03 |
| 1225064074 | Nicole L Boysen | Dietitian, Registered | 1212 Weber Road, Farmington, MO 63640 | 2006-06-23 |
| 1952343758 | Farmington Missouri Hospital Company LLC | Clinic/Center | 1212 Weber Road, Farmington, MO 63640 | 2006-06-13 |
| 1477596245 | Farmington Missouri Hospital Company LLC | Clinic/Center | 1212 Weber Road, Farmington, MO 63640 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| 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 |
|---|---|---|---|---|
| 1811315369 | Eduardo Sandoval Jr. | Emergency Medicine | 263 Farmington Ave Mc3955, Farmington, CT 03060-3955 | 2014-04-02 |
| 1801024088 | Jarrad Francis Maiers | Emergency Medicine | 801 West Maple Street, Farmington, NM 87401 | 2009-06-26 |
| 1215111398 | Patricia Ann Mcfadden | Emergency Medicine | 263 Farmington Ave # Mc1127, Farmington, CT 06030-1718 | 2007-12-24 |
| 1316960032 | Kimberly Dale Johnson | Emergency Medicine | 4820 East Main Street, Sjrmc Urgent Care, Farmington, NM 87402 | 2006-07-25 |
| 1770527376 | John Stephen Hunt | Emergency Medicine | 1101 E. Liberty St., Farmington, MO 63640 | 2006-06-15 |
| 1891759221 | Bruce E Harrison | Emergency Medicine | 204 Green Trail Dr, Farmington, MO 63640-9132 | 2006-04-13 |
| 1396719134 | Janet M Wilmes | Emergency Medicine | 4820 E Main St, Farmington, NM 87402-8660 | 2006-02-16 |
| 1588636823 | Kelly L Hartel | Emergency Medicine | 1101 W. Liberty, Parkland Health Center, Farmington, MO 63640 | 2006-02-02 |
| 1851824262 | Joseph Anthony Kebisek | Emergency Medicine | 263 Farmington Ave, Farmington, CT 06032-1956 | 2017-04-04 |
| 1427403195 | Alexander Charmoz | Emergency Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | 2016-04-29 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on FARMINGTON EMERGENCY GROUP LLC.
| 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.