ADVANCED CARE EMERGENCY MEDICINE GROUP, LLC (NPI# 1467817304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467817304 |
| Entity Type | Organization |
| Organization Name | ADVANCED CARE EMERGENCY MEDICINE GROUP, LLC |
| Practice Address |
950 W Wooster St Bowling Green OH 43402-2603 |
| Mailing Address |
Po Box 516 Toledo OH 43697-0516 |
| Practice Telephone | 4193548900 |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2016-06-13 |
| Authorized Official Name | DR. YAZAN MUSALLEM SARSOUR (FOUNDER/D.O.) |
| Authorized Official Telephone | 4193737642 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 34.007644 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
950 W WOOSTER ST |
| City | BOWLING GREEN |
| State | OH |
| Zip Code | 43402-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659366714 | Enas Kanama | Family Medicine | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2005-09-15 |
| 1457913121 | Hamam Alkhatib | Nurse Practitioner | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2019-07-02 |
| 1447810726 | Marin Alexis Baird | Nurse Practitioner | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2019-06-18 |
| 1528525003 | Amanda Hanzel | Nurse Practitioner | 950 W Wooster St, Bowling Green, OH 43402-2699 | 2019-02-21 |
| 1609343813 | Lisa A Harmon | Dietitian, Registered | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2018-10-25 |
| 1295236602 | Paul A Mccrory IIi | Nurse Practitioner | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2018-02-22 |
| 1326589607 | Ross Mcdermott | Emergency Medicine | 950 W Wooster St, Bowling Green, OH 43402-2699 | 2017-03-20 |
| 1710438122 | Deborah Ruth Davis | Registered Nurse | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2016-10-20 |
| 1952851099 | Eileen Wibbeler | Dietitian, Registered | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2016-10-13 |
| 1871964668 | Faith Elizabeth Stechschulte | Registered Nurse | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2015-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592017 | Danielle Urbaniak | Pharmacist | 722-740 South Main St, Bowling Green, OH 43402 | 2019-08-08 |
| 1013485648 | Julie Marie Knapp | Counselor | 219 South Church Street, Bowling Green, OH 43402 | 2018-11-13 |
| 1477065274 | Elizabeth Marie Leber | Social Worker | 1045 Klotz Rd., Bowling Green, OH 43402 | 2017-11-02 |
| 1558871913 | Genoa Healthcare, LLC | Pharmacy | 1010 N Prospect St Ste 56, Bowling Green, OH 43402 | 2017-10-11 |
| 1093224933 | Kevin Wagner | Contractor | 19644 Hull Prairie Rd, Bowling Green, OH 43402 | 2017-09-22 |
| 1487102273 | Mary Ann Bostdorff | Registered Nurse | 1011 North Prospect St., Bowling Green, OH 43402 | 2016-09-21 |
| 1174927354 | Kristy Siegle | Counselor | 1010 North Prospect, Bowling Green, OH 43402 | 2014-10-16 |
| 1366846560 | Timothy M Burkart | Pharmacist | 1840 E. Gypsy Lane Rd, (wood County Health Department), Bowling Green, OH 43402 | 2014-10-16 |
| 1144629411 | Ledeithra Denise Mckinney | Speech-Language Pathologist | 1921 East Gypsy Lane Rd., Bowling Green, OH 43402 | 2014-08-22 |
| 1558701607 | Mark Joseph Kleeberger | Physical Therapy Assistant | 1180 N Main St, Bowling Green, OH 43402 | 2013-07-02 |
| Find all providers in zip 43402 | ||||
| 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 |
|---|---|---|---|---|
| 1417190703 | Phillip M Keeley | Emergency Medicine | 130 Triple Crown Ct, Bowling Green, KY 42104-8567 | 2009-04-15 |
| 1730116625 | Kevin M Kelly | Emergency Medicine | 310 Greenview Way, Bowling Green, KY 42103-8767 | 2006-06-27 |
| 1558333286 | Michael J Collins | Emergency Medicine | 1340 Ellis Pl, Bowling Green, KY 42104-0602 | 2006-02-06 |
| 1003888215 | Luana Jane Hess | Emergency Medicine | 950 Wooster St, Bowling Green, OH 43402-2603 | 2006-02-02 |
| 1326589607 | Ross Mcdermott | Emergency Medicine | 950 W Wooster St, Bowling Green, OH 43402-2699 | 2017-03-20 |
| 1235545773 | Andrew Wheeler | Emergency Medicine | 250 Park St, Bowling Green, KY 42101-1760 | 2014-07-04 |
| 1154740827 | Kristen Craig | Emergency Medicine | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2014-04-10 |
| 1861836322 | Drakes Creek Emergency Physicians LLC | Emergency Medicine | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2013-04-26 |
| 1073863130 | Wood County Emergency Physicians Inc | Emergency Medicine | 950 W Wooster St, Bowling Green, OH 43402-2603 | 2012-09-17 |
| 1962799254 | Matthew Joseph White | Emergency Medicine | 950 W Wooster St, Wch: Emergency Dept., Bowling Green, OH 43402-2603 | 2011-07-07 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 43402 |
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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.