ICEM, LLC


Address: 340 W 10th St, Indianapolis, IN 46202-3082
Phone: 3172783500

ICEM, LLC (NPI# 1467788208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467788208
Entity Type Organization
Organization Name ICEM, LLC
Practice Address 340 W 10th St
Indianapolis
IN 46202-3082
Mailing Address 5446 Reliable Pkwy
Chicago
IL 60686-0001
Practice Telephone 3172783500
Practice Fax Number 3178700499
Mailing Telephone 3174727317
Mailing Fax Number 3179624903
Enumeration Date 2009-10-29
Last Update Date 2011-06-14
Authorized Official Name CAROL KARP (AUTHORIZED REPRESENTATIVE)
Authorized Official Telephone 3172783522
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN 200983590 05

Office Location

Street Address 340 W 10TH ST
City INDIANAPOLIS
State IN
Zip Code 46202-3082

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801327200 Philip Carter Wharton Student in an Organized Health Care Education/Training Program 340 W 10th St, Indianapolis, IN 46202-3082 2017-03-27
1790122935 Hossein Bozorgmehr Ouranos Student in an Organized Health Care Education/Training Program 340 W 10th St, Suite 6200, Indianapolis, IN 46202-3082 2013-05-29
1144531724 Jeffrey Matthew Harvey Emergency Medicine 340 W 10th St, Suite 6200, Indianapolis, IN 46202-3082 2010-06-29
1417284563 Icem-university-riley, LLC Emergency Medicine 340 W 10th St, Indianapolis, IN 46202-3082 2009-11-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790386886 Sara Brooke Horn Registered Nurse 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 2020-11-04
1013521905 Zachary Camden Grimes Registered Nurse 720 Eskenazi Avenute, Indianapolis, IN 46202 2020-09-08
1790314045 Scott C Mitchell II Student in an Organized Health Care Education/Training Program Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 2020-04-07
1053940676 James Patrick Kelly Iv Student in an Organized Health Care Education/Training Program 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 2020-04-06
1124657697 Betsy Wilson Stevens Student in an Organized Health Care Education/Training Program 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 2020-04-06
1093340580 Brian T Edmonds Social Worker Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 2020-03-05
1326683210 Lindsay Nicole Rich Nurse Practitioner 1800 N Senate Ave, Indianapolis, IN 46202 2019-11-14
1427693670 Ronald Mcdonald House Charities of Central Indiana Voluntary or Charitable 435 Limestone Street, Indianaplois, IN 46202 2019-11-12
1790344760 Kirsten Denise Leaberry Student in an Organized Health Care Education/Training Program Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 2019-06-12
1679138093 Chris Olson Jr. Student in an Organized Health Care Education/Training Program 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 2019-05-02
Find all providers in zip 46202

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508358128 Antonino Bucca Emergency Medicine 720 Eskenazi Ave Bldg 3, Indianapolis, IN 46202-5187 2018-05-30
1124518931 Evan Mitchell Landry Tomkiewicz Emergency Medicine 720 Eskenazi Ave Fl Ft3, Indianapolis, IN 46202-5187 2018-05-16
1114307063 Grant Fabian Chernoby Emergency Medicine 701 N Senate Ave # B401, Indianapolis, IN 46202-3111 2015-06-05
1508203514 Mark Liao Emergency Medicine 1701 N Senate Blvd Rm Ag012, Indianapolis, IN 46202-1239 2013-05-30
1003157322 Medexpress Urgent Care PC - Indiana Emergency Medicine 10863 E Washington St, Indianapolis, IN 46229-2615 2013-03-12
1164763744 Medexpress Urgent Care PC - Indiana Emergency Medicine 4903 S Emerson Ave, Indianapolis, IN 46203-5938 2013-03-07
1205199379 Damien T Berry Emergency Medicine 6335 S East St, Indianapolis, IN 46227-7112 2012-06-22
1972886422 Barber Hospital LLC Emergency Medicine 8125 Knue Rd, Indianapolis, IN 46250-1936 2011-09-21
1225321797 Seth Benjamin Langsam Emergency Medicine 1120 W Michigan St, Cl 260, Indianapolis, IN 46202-5209 2011-05-17
1538480777 Stephanie M Gardner Emergency Medicine 5262 Carrollton Ave, Indianapolis, IN 46220-3181 2010-06-22
Find all providers in INDIANAPOLIS

Competitor

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City INDIANAPOLIS
Zip Code 46202

Improve Information

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Dataset Information

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.

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