CEP AMERICA LLC (NPI# 1093360414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093360414 |
| Entity Type | Organization |
| Organization Name | CEP AMERICA LLC |
| Practice Address |
1015 Bowles Ave Fenton MO 63026-2394 |
| Mailing Address |
1601 Cummins Dr Ste D Modesto CA 95358-6411 |
| Practice Telephone | 6364962000 |
| Mailing Telephone | 5103502638 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | DAVID BIRDSALL (C.O.O) |
| Authorized Official Telephone | 5103502600 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1669014817 | Cep America LLC | Emergency Medicine | 1521 Joe Battle Blvd, Ste. B, El Paso, TX 79936 | 2019-10-09 |
| 1942855366 | Cep America LLC | Emergency Medicine | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-08-02 |
| 1851946370 | Cep America LLC | Emergency Medicine | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2019-08-02 |
| 1477108892 | Cep America LLC | Emergency Medicine | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2019-08-02 |
| 1982259305 | Cep America LLC | Emergency Medicine | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2019-08-02 |
| 1568017994 | Cep America LLC | Emergency Medicine | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-08-02 |
| 1619538055 | Cep America LLC | Emergency Medicine | 600 Grant St, Gary, IN 46402-6001 | 2019-06-26 |
| 1063073401 | Cep America LLC | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2019-06-26 |
| 1285103671 | Cep America LLC | Emergency Medicine | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2018-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CEP AMERICA LLC | 99 Washington Avenue, Suite 1008, Albany, Ny 12260 |
| Street Address |
1015 BOWLES AVE |
| City | FENTON |
| State | MO |
| Zip Code | 63026-2394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982687059 | Robert Brunton Smith | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2005-11-22 |
| 1235756149 | Megan Poucher | Student in an Organized Health Care Education/Training Program | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2020-06-26 |
| 1598389306 | Andrew Richardson | Nurse Anesthetist, Certified Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2020-06-08 |
| 1538714688 | Galen Inpatient Physicians Inc. | Internal Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2019-08-06 |
| 1427525468 | Paige Cathleen Hagen | Pharmacist | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2018-10-29 |
| 1700303765 | Anne M Reeb | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-08-29 |
| 1851828297 | Erin Fagan | Occupational Therapist | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-05-16 |
| 1437681418 | Matthew Schwab | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-03-30 |
| 1144678285 | Wilka Yaneth Vincent | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2016-05-31 |
| 1316316516 | Rachel Pence | Dietitian, Registered | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2015-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
| Find all providers in zip 63026 | ||||
| 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 |
|---|---|---|---|---|
| 1326085457 | James R Taylor | Emergency Medicine | 1015 Bowles Ave., Fenton, MO 63026 | 2006-05-31 |
| 1982687059 | Robert Brunton Smith | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2005-11-22 |
| 1437681418 | Matthew Schwab | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2017-03-30 |
| 1558502989 | Midwest Emergency Associates-fenton, LLC | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2009-03-16 |
| 1164614798 | Mclaren Medical Group | Emergency Medicine | 2420 Owen Rd, Fenton, MI 48430-3417 | 2007-08-17 |
| 1376746800 | Stephen Slowik | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2007-06-11 |
| 1275643553 | Patricia A. Williams | Emergency Medicine | 1203 Smizer Mill Rd, Suite 100, Fenton, MO 63026-3483 | 2006-08-30 |
| 1730108101 | Tuere A Franklin | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2006-07-18 |
| 1073538302 | Jeffrey J Hallazgo | Emergency Medicine | 714 Gravois Rd, Suite 100, Fenton, MO 63026-7723 | 2006-07-13 |
| 1437135217 | Joseph Theodore Young | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026 | 2005-12-22 |
| Find all providers in FENTON | ||||
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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.