PROFESSIONAL EMERGENCY PHYSICIAN SERVICES, LLC


Address: 251 N Fourth St, Oakland, MD 21550-1375
Phone: 3015334201

PROFESSIONAL EMERGENCY PHYSICIAN SERVICES, LLC (NPI# 1477554129) 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) 1477554129
Entity Type Organization
Organization Name PROFESSIONAL EMERGENCY PHYSICIAN SERVICES, LLC
Practice Address 251 N Fourth St
Oakland
MD 21550-1375
Mailing Address Po Box 597
Oakland
MD 21550-4597
Practice Telephone 3015334201
Practice Fax Number 3015334208
Mailing Telephone 3015334201
Mailing Fax Number 3015334208
Enumeration Date 2005-08-03
Last Update Date 2011-09-21
Authorized Official Name MS. TRACY DAWN LIPSCOMB (VIP FINANCE/CFO)
Authorized Official Telephone 3015334201
Authorized Official Credential CPA
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MD 407145000 05
B/C FEDERAL MA6 01
B/C MT STATE 777A 01
BLUE CROSS 777A 01
CAREFIRST B/C 777A 01
BLUE CROSS CONSOL 777A 01
B/C MD 777A 01
B/C GENERAL MOTORS 777A 01
BLUE CROSS EMPIRE J748 01

Office Location

Street Address 251 N FOURTH ST
City OAKLAND
State MD
Zip Code 21550-1375

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356341499 Garrett County Memorial Hospital General Acute Care Hospital 251 N Fourth St, Oakland, MD 21550-1375 2005-07-29
1023007820 Garrett County Memorial Hospital Skilled Nursing Facility 251 N Fourth St, Oakland, MD 21550-1375 2005-10-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619470218 Care 1st Wellness Counselor 13223 Garrett Highway, Suite 2, Oakland, MD 21550 2018-03-10
1285133041 Ruth Chisholm Dietitian, Registered 251 North Fourth Street, Oakland, MD 21550 2018-02-07
1992221055 Garrett Treatment Center, LLC Clinic/Center 233 East Alder Street, Suite A, Oakland, MD 21550 2017-08-20
1801347638 Pressley Ridge Community/Behavioral Health 8000 Thayer Center, Oakland, MD 21550 2016-10-17
1639588486 Bridget Frazee Pharmacist 220 N 3rd Street, Oakland, MD 21550 2014-08-06
1649562901 Rachel Renee Friend-lantz Nurse Practitioner 13145 Garrett Hwy, Oakland, MD 21550 2011-05-05
1003034794 Rodney Steve Richard Social Worker 20 East Oak St., Oakland, MD 21550 2007-04-20
1114141785 Garrett County Board of Education Local Education Agency (LEA) 40 S Second Street, Oakland, MD 21550 2007-04-12
1437372620 D W Sheets Dmd LLC Dentist 4000 Thayer Center, Oakland, MD 21550 2007-04-10
1003943465 Lisa C Scott Physician Assistant 69 Wolf Acres Drive, Oakland, MD 21550 2007-02-27
Find all providers in zip 21550

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
1801418710 Tn Tele Md PC Emergency Medicine 578 Ivy Dr, Oakland, TN 38060-3132 2020-05-13
1851779870 Graham Becherer-bailey Emergency Medicine Highland Hospital Emergency Department, 1411 East 31st. Ave., Oakland, CA 94602 2015-05-11
1366702391 Katherine Farmer Emergency Medicine 275 Macarthur Blvd, Oakland, CA 94610-3178 2012-05-24
1003128364 Daniel Mantuani Emergency Medicine 1506 4th Ave Apt 5, Apt 5, Oakland, CA 94606-2351 2010-07-02
1205154549 Andrea Xuxia Durant Emergency Medicine 4096 Piedmont Ave # 708, Oakland, CA 94611-5221 2010-05-11
1285871798 Brita Elise Zaia Emergency Medicine 1141 East 31st St., Department of Emergency Medicine, Oakland, CA 94602-1018 2009-01-21
1952547937 Naomi Victoria Marks Emergency Medicine 1411 E. 31st St., Emergency Dept, Oakland, CA 94602 2008-12-23
1336309582 Louis Christopher Rivera Emergency Medicine 645 El Dorado Ave, Apt 304, Oakland, CA 94611-5082 2008-06-11
1649469701 Christopher Adam Walker Emergency Medicine 100 Grand Ave, Apt 1711, Oakland, CA 94612-3078 2007-10-15
1447477906 Kelley Renae Feeley Emergency Medicine 280 W. Mac Arthur Blvd, Emergency Department, Oakland, CA 94611 2007-04-19
Find all providers in OAKLAND

Competitor

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City OAKLAND
Zip Code 21550

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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