MIDWEST EMERGENCY SPARTA, INC (NPI# 1194162370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194162370 |
| Entity Type | Organization |
| Organization Name | MIDWEST EMERGENCY SPARTA, INC |
| Practice Address |
818 E Broadway St Sparta IL 62286-1820 |
| Mailing Address |
Po Box 8174 Fort Worth TX 76124-0174 |
| Practice Telephone | 8174514208 |
| Practice Fax Number | 8175633699 |
| Mailing Telephone | 8174514208 |
| Mailing Fax Number | 8175633699 |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |
| Authorized Official Name | DR. WILLIAM W CRUZEN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8174514208 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
818 E BROADWAY ST |
| City | SPARTA |
| State | IL |
| Zip Code | 62286-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548216476 | Sparta Community Hospital | General Acute Care Hospital | 818 E Broadway St, Sparta, IL 62286-0297 | 2006-05-25 |
| 1932726718 | Renee Ellis | Dietitian, Registered | 818 E Broadway St, Sparta, IL 62286-1820 | 2020-06-29 |
| 1356862742 | Rebecca Koopman | Specialist/Technologist | 818 E Broadway St, Sparta, IL 62286-1820 | 2017-07-06 |
| 1710261623 | Community Orthopedics & Sports Medicine, PC | Orthopaedic Surgery | 818 E Broadway St, 1st Floor, Sparta, IL 62286-1820 | 2011-10-11 |
| 1275822587 | Abby Marie Woods | Nurse Practitioner | 818 E Broadway St, Sparta, IL 62286-1820 | 2011-04-07 |
| 1154626448 | Sparta Community Hospital Dba Quality Healthcare Clinics | Clinic/Center | 818 E Broadway St, Sparta, IL 62286 | 2011-01-18 |
| 1841443793 | Barbara J Brown | Dietitian, Registered | 818 E Broadway St, Sparta, IL 62286-1820 | 2008-10-23 |
| 1225218837 | Hospitalmd of Sparta-ip, Inc | Hospitalist | 818 E Broadway St, Sparta, IL 62286-1820 | 2007-11-12 |
| 1609097617 | Hospitalmd of Sparta, Inc | Emergency Medicine | 818 E Broadway St, Sparta, IL 62286-1820 | 2007-05-01 |
| 1639187149 | Sparta Community Hospital | Home Health | 818 E Broadway St, Sparta, IL 62286-1820 | 2006-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841502 | Rikki Schaefer | Physician Assistant | 205 South Burns Ave, Sparta, IL 62286 | 2015-01-13 |
| 1922242130 | Sparta Community Hospital | Clinic/Center | 211 South Burns Avenue, Sparta, IL 62286 | 2009-05-01 |
| 1245452739 | Human Service Center of Southern Metro East | Clinic/Center | 104 Northtown Drive, Sparta, IL 62286 | 2007-05-03 |
| 1356479497 | Randal W Mcbride | Dentist | 1701 N Market St, Suite 2, Sparta, IL 62286 | 2007-03-01 |
| 1043398050 | Chris M Murry | Chiropractor | 401 West Broadway, Sparta, IL 62286 | 2006-11-01 |
| 1679657548 | Frantz Antoine Charles | Surgery | 818 East Broadway, Sparta Community Hospital, Sparta, IL 62286 | 2006-10-25 |
| 1750497194 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 207 South Burns Ave, Family Health Centre, Sparta, IL 62286 | 2006-08-21 |
| 1740395045 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 1300 North Campus, Sparta Community Hospital, North Campus, Sparta, IL 62286 | 2006-08-20 |
| 1326153552 | Sparta Communty Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 211 South Burns Ave, Quality Healthcare Surgery, Sparta, IL 62286 | 2006-08-20 |
| 1740395003 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | 215 South Burns Avenue, Sparta, IL 62286 | 2006-08-20 |
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| 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 |
|---|---|---|---|---|
| 1730186446 | Robert Plinke | Emergency Medicine | 401 Sewell Dr, Sparta, TN 38583-1223 | 2005-07-07 |
| 1992243984 | Alex Grunenwald | Emergency Medicine | 310 W Main St, Sparta, WI 54656-2170 | 2017-02-09 |
| 1932460607 | Churchill Drive Emergency Physicians LLC | Emergency Medicine | 401 Sewell Dr, Sparta, TN 38583-1223 | 2012-05-30 |
| 1841486453 | Emma K Ledbetter | Emergency Medicine | 310 W Main St, Sparta, WI 54656-2170 | 2007-09-18 |
| 1679796387 | Sparta Emergency Physicians LLC | Emergency Medicine | 233 Doctors St, Sparta, NC 28675-9247 | 2007-04-11 |
| 1083759112 | Southeastern Emergency Care, Pllc | Emergency Medicine | 401 Sewell Dr, Sparta, TN 38583-1223 | 2007-02-20 |
| 1629152475 | Richard Calhoun | Emergency Medicine | 233 Doctors St, Sparta, NC 28675-9247 | 2006-10-25 |
| 1912940966 | Pisgah Emergency Physicians | Emergency Medicine | 233 Doctors St, Sparta, NC 28675-9247 | 2006-06-14 |
| 1043253685 | James Phillip Parker | Emergency Medicine | 401 Sewell Dr, Sparta, TN 38583-1223 | 2006-06-13 |
| 1467402404 | Harold C. Burchel Jr. | Emergency Medicine | 233 Doctors St, Sparta, NC 28675-9247 | 2006-05-11 |
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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.