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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207P00000X | Emergency Medicine | ========= | MD | Allopathic & Osteopathic Physicians |
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 |
Street Address |
251 N FOURTH ST |
City | OAKLAND |
State | MD |
Zip Code | 21550-1375 |
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 |
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 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 |
---|---|---|---|---|
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 |
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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.