ASPEN LEAF EMERGENCY PHYSICINAS, LLC (NPI# 1598125866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598125866 |
| Entity Type | Organization |
| Organization Name | ASPEN LEAF EMERGENCY PHYSICINAS, LLC |
| Practice Address |
1185 N 1000 W Linton IN 47441-5282 |
| Mailing Address |
Po Box 80076 Philadelphia PA 19101-1076 |
| Practice Telephone | 4694012386 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |
| Authorized Official Name | EDDIE STONE, M.D. (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1185 N 1000 W |
| City | LINTON |
| State | IN |
| Zip Code | 47441-5282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184695389 | Greene County General Hospital | Social Worker | 1185 N 1000 W, Linton, IN 47441-5282 | 2006-01-27 |
| 1679124747 | Jodi L Barton | Social Worker | 1185 N 1000 W, Linton, IN 47441-5282 | 2019-09-20 |
| 1942703004 | Greene County General Hospital | Pediatrics | 1185 N 1000 W, Linton, IN 47441-5282 | 2018-03-15 |
| 1750891602 | Jill D Bailey | Social Worker | 1185 N 1000 W, Linton, IN 47441-5282 | 2017-10-05 |
| 1174951222 | Buck Creek Emergency Physicians LLC | Physician Assistant | 1185 N 1000 W, Linton, IN 47441-5282 | 2013-10-29 |
| 1548520505 | Jesse Michael Crane | Emergency Medicine | 1185 N 1000 W, Linton, IN 47441-5282 | 2012-05-24 |
| 1548432099 | Stella Mari I Torralba Palanca | Anesthesiology | 1185 N 1000 W, Linton, IN 47441-5282 | 2008-03-25 |
| 1164612321 | Peter J. Powers | Internal Medicine | 1185 N 1000 W, Linton, IN 47441-5282 | 2007-07-25 |
| 1538183454 | Michael J Gamble | Emergency Medicine | 1185 N 1000 W, Linton, IN 47441-5282 | 2006-07-26 |
| 1437100799 | Lucio Giovanni Palanca | Surgery | 1185 N 1000 W, Linton, IN 47441-5282 | 2006-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790974228 | Rosa Isabel Garnica-gentry | Physical Therapist | Rr No. 2 Box 208, Linton, IN 47441 | 2007-10-22 |
| 1780874388 | Dane Michael Lee | Nurse Anesthetist, Certified Registered | Rr1, Linton, IN 47441 | 2007-07-30 |
| 1861691107 | Amy Aileen Balcam | Counselor | 1000 County Road West Lonetree, Linton, IN 47441 | 2007-07-17 |
| 1578695839 | Brent L Ellis | Dentist | 2163hwy 54 East Suburban Plaza, Suite C, Linton, IN 47441 | 2007-03-12 |
| 1528115987 | Christina Kay Sparks | Registered Nurse | 2121 E Hwy 54, Linton, IN 47441 | 2007-01-05 |
| 1043379449 | Debra Ann Moore | Technician/Technologist | 269 West Vincennes St, Linton, IN 47441 | 2006-12-08 |
| 1750476123 | Jeffrey Doris | Pharmacist | 60 A Street Nw, Linton, IN 47441 | 2006-10-03 |
| 1093765471 | Michael D. Crane | Pharmacist | Rr#1 Box 1000, Linton, IN 47441 | 2006-05-10 |
| 1922595487 | Greene County General Hospital | Physician Assistant | 1210 N 1000 W, Linton, IN 47441 | 2018-04-19 |
| 1205246790 | Derek Parkes | Family Medicine | 390 A St Ne, Linton, IN 47441 | 2014-05-06 |
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| 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 |
|---|---|---|---|---|
| 1508047788 | Linton Hospital | Emergency Medicine | 518 N Broadway, Linton, ND 58552-0850 | 2007-11-16 |
| 1972784155 | Linton Hospital | Emergency Medicine | 518 North Broadway, Linton, ND 58552-0850 | 2007-11-16 |
| 1881793644 | Mark Philip White | Emergency Medicine | Rr #1 Box 1000, Greene County General, Linton, IN 47441-9457 | 2006-09-21 |
| 1407287196 | Indiana Emergency Physicians, LLP | Emergency Medicine | 1501 A St Ne, Linton, IN 47441-1607 | 2013-12-05 |
| 1548520505 | Jesse Michael Crane | Emergency Medicine | 1185 N 1000 W, Linton, IN 47441-5282 | 2012-05-24 |
| 1538183454 | Michael J Gamble | Emergency Medicine | 1185 N 1000 W, Linton, IN 47441-5282 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358255 | Vyvian Charlene Lawrence | Emergency Medicine | 5939 W Lincoln Hwy, Crown Point, IN 46307-9604 | 2020-08-28 |
| 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 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1760913891 | Nathan Francis Marcinkowski | Emergency Medicine | 216 N 4th St Ste 205, Lafayette, IN 47901-1323 | 2017-03-21 |
| 1154777613 | Michael J Bojrab | Emergency Medicine | 6720 Kirkdale Dr, Fort Wayne, IN 46815-5524 | 2016-05-13 |
| 1114307063 | Grant Fabian Chernoby | Emergency Medicine | 701 N Senate Ave # B401, Indianapolis, IN 46202-3111 | 2015-06-05 |
| 1457730830 | Patrick Lee Studtman | Emergency Medicine | 615 N. Michigan Street, Emergency Department, South Bend, IN 46601-1033 | 2015-05-19 |
| 1861888430 | Enola Okonkwo | Emergency Medicine | 9785 Valley Springs Blvd, Fishers, IN 46037-8764 | 2015-04-10 |
| 1518355882 | Marlin R. Gray | Emergency Medicine | 925 N. County Rd., 1100e, Otwell, IN 47564 | 2015-01-08 |
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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.