CROSSROADS EMERGENCY PHYSICIANS LLP (NPI# 1447796289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447796289 |
Entity Type | Organization |
Organization Name | CROSSROADS EMERGENCY PHYSICIANS LLP |
Practice Address |
1201 Pine St Eldorado IL 62930-1634 |
Mailing Address |
75 Remit Dr # 1122 Chicago IL 60675-1122 |
Practice Telephone | 6182733361 |
Mailing Telephone | 8443641730 |
Enumeration Date | 2017-01-18 |
Last Update Date | 2017-01-18 |
Authorized Official Name | DERIK KING (MANAGING PARTNER) |
Authorized Official Telephone | 8669165259 |
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 |
Street Address |
1201 PINE ST |
City | ELDORADO |
State | IL |
Zip Code | 62930-1634 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508843996 | Ahmed Ali Tariq | Internal Medicine | 1201 Pine St, Eldorado, IL 62930-1634 | 2005-12-27 |
1750917647 | Betty J German | Social Worker | 1201 Pine St, Eldorado, IL 62930-1634 | 2020-03-23 |
1033651559 | Christine Lucille Raben | Social Worker | 1201 Pine St, Eldorado, IL 62930-1634 | 2016-11-15 |
1659756062 | Melissa J Obert | Occupational Therapist | 1201 Pine St, Eldorado, IL 62930 | 2015-07-27 |
1649602368 | Core Physician Resources PC | Emergency Medicine | 1201 Pine St, Eldorado, IL 62930-1634 | 2013-08-05 |
1922312396 | Ferrell Hospital Family Practice Clinic | Clinic/Center | 1201 Pine St, Eldorado, IL 62930-1634 | 2010-07-28 |
1639328479 | Terri S Young | Physical Therapist | 1201 Pine St, Eldorado, IL 62930-1634 | 2008-09-17 |
1801044417 | Bruce H Bradley | Occupational Therapist | 1201 Pine St, Eldorado, IL 62930-1634 | 2008-09-08 |
1780883843 | Nathan Oldham | Family Medicine | 1201 Pine St, Eldorado, IL 62930-1634 | 2007-07-17 |
1477761781 | Lauren Meredith Sanders | Counselor | 1201 Pine St, Eldorado, IL 62930-1634 | 2007-05-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164951802 | Jeanette Long X | Licensed Practical Nurse | 70 Alexander St, Eldorado, IL 62930 | 2017-06-07 |
1720510514 | Mckayla Addison Wren | Counselor | 1412 Us. 45n, Eldorado, IL 62930 | 2017-03-30 |
1407394901 | Melody Jo Smith | Licensed Practical Nurse | 2260 Raleigh Road, Eldorado, IL 62930 | 2017-02-03 |
1205250412 | Becks Long Term Care Pharmacy Inc | Pharmacy | 1413 Locust Street, Eldorado, IL 62930 | 2014-02-07 |
1346559283 | Danny Ray Phillips | Pharmacist | 1021 Us Hwy 45 North, Eldorado, IL 62930 | 2010-09-27 |
1447434477 | Elana Ruth Floyd-kennett | Social Worker | 1007 Route 45, Eldorado, IL 62930 | 2007-12-27 |
1417150376 | Luke Tyler Hall | Family Medicine | 1407 Locust St, Eldorado, IL 62930 | 2007-06-07 |
1134320039 | Eldorado Community Unit School District #4 | Local Education Agency (LEA) | 1040 Washington, Eldorado, IL 62930 | 2007-05-29 |
1013071026 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 1204 U.S. 45 N., Eldorado, IL 62930 | 2006-12-21 |
1467536557 | Debra Dian Rumsey | Licensed Practical Nurse | 607 4th Street, Eldorado Rural Health Clinic, Eldorado, IL 62930 | 2006-10-25 |
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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 |
---|---|---|---|---|
1043254386 | Matthew P Datzman | Emergency Medicine | 105 Kane Rd, Eldorado, IL 62930-3736 | 2006-06-16 |
1649602368 | Core Physician Resources PC | Emergency Medicine | 1201 Pine St, Eldorado, IL 62930-1634 | 2013-08-05 |
1740268648 | Bruce A Sobko | Emergency Medicine | 1201 Pine St, Eldorado, IL 62930-1634 | 2006-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811503394 | Susan Lochhead | Emergency Medicine | 1930 N Fremont St, Chicago, IL 60614-5017 | 2020-09-19 |
1851900344 | Cepamerica Illinois PC | Emergency Medicine | 2112 S Michigan Ave, Chicago, IL 60616-1704 | 2020-07-30 |
1225650773 | Evan Alexander Jenkins | Emergency Medicine | 701 N 1st St Ste 220, Springfield, IL 62702-3757 | 2020-05-07 |
1962030775 | Ramya Kondaveeti | Emergency Medicine | 4440 W 95th St Ste 106s, Oak Lawn, IL 60453-2600 | 2020-03-28 |
1972157097 | Francesca Taylor | Emergency Medicine | 20930 W Verona Ave, Lake Villa, IL 60046-7606 | 2019-07-26 |
1538622287 | Brandon Fen Chang | Emergency Medicine | 820 S Wood St Ste 100, Chicago, IL 60612-4325 | 2019-04-10 |
1053872630 | Oretunlewa Soyinka | Emergency Medicine | 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | 2019-03-27 |
1457818098 | Innovative Iv Care, Pllc | Emergency Medicine | 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 | 2019-03-01 |
1013414077 | Lauran Wirfs | Emergency Medicine | 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 | 2018-04-06 |
1518461987 | David Bennett Feiger | Emergency Medicine | 211 E Huron St, Suite 200, Chicago, IL 60611-3055 | 2018-03-21 |
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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.