KENTUCKY EMERGENCY MEDICINE PHYSICIANS PLLC (NPI# 1477548048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477548048 |
| Entity Type | Organization |
| Organization Name | KENTUCKY EMERGENCY MEDICINE PHYSICIANS PLLC |
| Practice Address |
1305 N Elm St Henderson KY 42420-2783 |
| Mailing Address |
Po Box 933 Henderson KY 42419-0933 |
| Practice Telephone | 2708277700 |
| Practice Fax Number | 8124716650 |
| Mailing Telephone | 8124711591 |
| Mailing Fax Number | 8124716650 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STANLEY P TARASKA (PRESIDENT) |
| Authorized Official Telephone | 8124711591 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65903825 | 05 |
| Street Address |
1305 N ELM ST |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-2783 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026679 | Sheri Dawn Montgomery | Emergency Medicine | 1305 N Elm St, Er, Henderson, KY 42420-2783 | 2005-07-08 |
| 1144845868 | Laura L Kirk | Physician Assistant | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-06-09 |
| 1659993582 | Deaconess Clinic, Inc | Internal Medicine | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-05-14 |
| 1336768993 | Carla M Wise | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-04-14 |
| 1528697869 | Jessica L Utley | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2775 | 2020-04-08 |
| 1457987877 | Tabicia Linn Mattingly | Nurse Practitioner | 1305 N Elm St, Henderson, KY 42420-2783 | 2020-03-17 |
| 1912544958 | Methodist Health, Inc. | Emergency Medicine | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-12-10 |
| 1962055863 | Methodist Health, Inc. | Pharmacy | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-07-19 |
| 1669034252 | Shelby Nichole Hite | Speech-Language Pathologist | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-07-03 |
| 1780249060 | Methodist Health, Inc. | Anesthesiology | 1305 N Elm St, Henderson, KY 42420-2783 | 2019-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| 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 |
|---|---|---|---|---|
| 1720602899 | Obhg Nevada PC | Emergency Medicine | 2001 Saint Rose Pkwy, Henderson, NV 89052-3839 | 2020-06-03 |
| 1063807022 | Kristopher Ryan Shannon | Emergency Medicine | Dignity Health, Siena Campus, 3001 St. Rose Parkway, Henderson, NE 89052 | 2015-04-06 |
| 1821417155 | Stace Breland | Emergency Medicine | 2573 Williamsburg St, Henderson, NV 89052-4933 | 2014-04-15 |
| 1619293495 | Miguel Angel Mendoza Navarro | Emergency Medicine | 2380 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89052-5078 | 2010-04-19 |
| 1558599050 | Nathan L Tranchell | Emergency Medicine | 1966 Kachina Mountain Dr, Henderson, NV 89012-2220 | 2009-06-23 |
| 1134254824 | Derrick Daniel Creighton | Emergency Medicine | 2432 Eagleridge Dr, Henderson, NV 89074-6295 | 2007-02-22 |
| 1215018692 | Nhan Huu Nguyen | Emergency Medicine | 1015 North Elm Street, Henderson, KY 42420 | 2006-10-18 |
| 1851481352 | Rick Martin | Emergency Medicine | 102 E. Lake Mead Drive, Henderson, TN 89015 | 2006-10-13 |
| 1205940756 | Jason Lasry | Emergency Medicine | 3001 St Rose Parkway, St. Rose Dominican Hospital (emergency Department), Henderson, NV 89052 | 2006-08-19 |
| 1881628402 | Dale Carrison | Emergency Medicine | 3100 Saint Rose Parkway, Henderson, NV 89052 | 2006-07-10 |
| Find all providers in HENDERSON | ||||
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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.