EMERGENCY SERVICE PHYSICIANS, INC. (NPI# 1104451699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104451699 |
| Entity Type | Organization |
| Organization Name | EMERGENCY SERVICE PHYSICIANS, INC. |
| Practice Address |
200 Exempla Cir Lafayette CO 80026-3370 |
| Mailing Address |
4535 Dressler Rd Nw Canton OH 44718-2545 |
| Practice Telephone | 3304934443 |
| Mailing Telephone | 3304934443 |
| Mailing Fax Number | 3304938677 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | DOMINIC BAGNOLI (BOARD DIRECTOR) |
| Authorized Official Telephone | 3304934443 |
| 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 |
|---|---|---|---|---|
| 1326097668 | Emergency Service Physicians, Inc. | Emergency Medicine | 8300 East 38th Ave, Wheat Ridge, CO 80033-6055 | 2006-05-06 |
| 1659906154 | Emergency Service Physicians, Inc. | Emergency Medicine | 8515 W Coal Mine Ave, Littleton, CO 80123-4429 | 2020-03-05 |
| 1730714239 | Emergency Service Physicians, Inc. | Emergency Medicine | 11900 Grant St, Northglenn, CO 80233-1117 | 2020-03-05 |
| 1548895048 | Emergency Service Physicians, Inc. | Emergency Medicine | 23770 E Smoky Hill Rd, Aurora, CO 80016-3089 | 2020-03-05 |
| Street Address |
200 EXEMPLA CIR |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316932387 | Susan L Blakley | Internal Medicine | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2005-09-15 |
| 1790391480 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-09-18 |
| 1659985737 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-09-04 |
| 1669096848 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-06-03 |
| 1720569569 | Dastgeer Surgical Associates | Specialist/Technologist, Other | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2018-08-28 |
| 1639607021 | Sagarika Sinha | Hospitalist | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2017-05-30 |
| 1619321148 | Stephanie Veronica Eldred | Family Medicine | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2016-04-21 |
| 1861877169 | Ashley Lane | Physician Assistant | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2015-07-28 |
| 1184013500 | Michele Rundall-aemmer | Registered Nurse | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2015-01-22 |
| 1487063889 | Jenna Allais | Pharmacist | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2014-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| 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 |
|---|---|---|---|---|
| 1760913891 | Nathan Francis Marcinkowski | Emergency Medicine | 216 N 4th St Ste 205, Lafayette, IN 47901-1323 | 2017-03-21 |
| 1134549322 | Marc Fernandez | Emergency Medicine | 121 Rue Louis Xiv Bldg 5, Lafayette, LA 70508-5786 | 2014-04-26 |
| 1710328653 | Medexpress Urgent Care, PC - Indiana | Emergency Medicine | 102 Sagamore Pkwy S, Lafayette, IN 47905-4745 | 2013-07-08 |
| 1467751354 | Devan Guidry Szczepanski | Emergency Medicine | 619 Saint Catherine St, Lafayette, LA 70506-4328 | 2011-03-18 |
| 1730359977 | Tonya Boudreaux | Emergency Medicine | 4600 Ambassador Caffery- Emergency Dept., Lafayette, LA 70508 | 2008-03-04 |
| 1063692481 | Braden Conrad Despot | Emergency Medicine | 200 Travis St Ste 201, Lafayette, LA 70503-2447 | 2007-11-14 |
| 1699970830 | Charles P Gillespie | Emergency Medicine | 2849 Crater Lake Ln, Lafayette, CO 80026-3488 | 2007-06-18 |
| 1730239542 | Charles T. Clemons | Emergency Medicine | 926 Raintree Pl, Lafayette, CA 94549-4816 | 2007-01-12 |
| 1811076995 | Brad Alan Boudreaux | Emergency Medicine | 3619 Ambassador Caffery Pkwy, Bldg E, Lafayette, LA 70503-5132 | 2006-11-02 |
| 1528158060 | Joseph C Ryan | Emergency Medicine | 607 Greenbriar Rd, Lafayette, LA 70503-0000 | 2006-10-13 |
| Find all providers in LAFAYETTE | ||||
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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.