CEP AMERICA LLC (NPI# 1619538055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619538055 |
| Entity Type | Organization |
| Organization Name | CEP AMERICA LLC |
| Practice Address |
600 Grant St Gary IN 46402-6001 |
| Mailing Address |
1601 Cummins Dr Ste D Modesto CA 95358-6411 |
| Practice Telephone | 2198864000 |
| Mailing Telephone | 5103502600 |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | DAVID BIRDSALL (C.O.O) |
| Authorized Official Telephone | 5103502600 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1669014817 | Cep America LLC | Emergency Medicine | 1521 Joe Battle Blvd, Ste. B, El Paso, TX 79936 | 2019-10-09 |
| 1093360414 | Cep America LLC | Emergency Medicine | 1015 Bowles Ave, Fenton, MO 63026-2394 | 2019-08-02 |
| 1942855366 | Cep America LLC | Emergency Medicine | 6420 Clayton Rd, Richmond Heights, MO 63117-1811 | 2019-08-02 |
| 1851946370 | Cep America LLC | Emergency Medicine | 12303 De Paul Dr, Bridgeton, MO 63044-2512 | 2019-08-02 |
| 1477108892 | Cep America LLC | Emergency Medicine | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2019-08-02 |
| 1982259305 | Cep America LLC | Emergency Medicine | 100 Medical Plz, Lake St Louis, MO 63367-1366 | 2019-08-02 |
| 1568017994 | Cep America LLC | Emergency Medicine | 500 Medical Dr, Wentzville, MO 63385-3421 | 2019-08-02 |
| 1063073401 | Cep America LLC | Emergency Medicine | 8701 Broadway, Merrillville, IN 46410-7035 | 2019-06-26 |
| 1285103671 | Cep America LLC | Emergency Medicine | 1606 N 7th St, Terre Haute, IN 47804-2706 | 2018-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CEP AMERICA LLC | 99 Washington Avenue, Suite 1008, Albany, Ny 12260 |
| Street Address |
600 GRANT ST |
| City | GARY |
| State | IN |
| Zip Code | 46402-6001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285265686 | Candace Kapranos | Nurse Practitioner | 600 Grant St, Gary, IN 46402-6001 | 2020-02-04 |
| 1104460062 | Matthew Gerard Mcgowan | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2019-11-04 |
| 1083257695 | Keva Swopes Mobley | Registered Nurse | 600 Grant St, Gary, IN 46402-6001 | 2019-10-26 |
| 1891343174 | Stephanie J Herald | Anesthesiologist Assistant | 600 Grant St, Gary, IN 46402-6001 | 2019-08-29 |
| 1508330267 | Julie Witvoet | Pharmacist | 600 Grant St, Gary, IN 46402-6001 | 2019-01-16 |
| 1932672888 | The Methodist Hospitals, Inc | Pharmacy | 600 Grant St, Gary, IN 46402 | 2019-01-03 |
| 1588164123 | Alexx Puckett | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2018-02-20 |
| 1174030605 | Chube2 Primary Care LLC | Family Medicine | 600 Grant St, Gary, IN 46402-6001 | 2018-01-05 |
| 1548779887 | Joshua Zalot | Emergency Medicine | 600 Grant St, Gary, IN 46402-6001 | 2017-09-28 |
| 1154841740 | Dana Rylee Payne | Physician Assistant | 600 Grant St, Gary, IN 46402-6001 | 2017-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790154417 | Edgewater Systerms for Balanced Living | Community/Behavioral Health | 1106 West 6 Th Avenue, Gary, IN 46402 | 2015-09-23 |
| 1447642772 | Michael Pirtle | Counselor | 1100 W. Fifth Ave, Gary, IN 46402 | 2015-02-24 |
| 1356748370 | Peter F Uchman | Social Worker | 1100 W. 6th Ave., Gary, IN 46402 | 2014-11-20 |
| 1295142594 | Demetria A Macon | Counselor | 1100 W. 6th Ave, Gary, IN 46402 | 2014-07-18 |
| 1396952503 | 21st Century Charter School At Gary | Local Education Agency (LEA) | 556 W Washington, Gary, IN 46402 | 2007-05-17 |
| 1609094630 | Jomon Mathew | Physical Therapist | 353 Tyler St, Gary, IN 46402 | 2007-04-23 |
| 1376677138 | Kovilparambil Xavier Antony | Psychiatry & Neurology | 1100 W 6th Avenue, Gary, IN 46402 | 2007-03-15 |
| 1588759013 | Waltee Douglas | Psychologist | 667 Van Buren, Gary, IN 46402 | 2006-10-03 |
| 1851332514 | Thessa Grace Robertson | Emergency Medicine | 600 Grant Street, Gary, IN 46402 | 2006-06-10 |
| 1497254296 | Callie Stephens | Licensed Practical Nurse | 1100 W 6th Ave, Gary, IN 46402 | 2018-02-07 |
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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 |
|---|---|---|---|---|
| 1851332514 | Thessa Grace Robertson | Emergency Medicine | 600 Grant Street, Gary, IN 46402 | 2006-06-10 |
| 1548779887 | Joshua Zalot | Emergency Medicine | 600 Grant St, Gary, IN 46402-6001 | 2017-09-28 |
| 1821470006 | Steven Flynn | Emergency Medicine | 600 Grant St, Gary, IN 46402-6099 | 2015-06-23 |
| 1649534132 | Ricardo Rivera-yagnich | Emergency Medicine | 600 Grant St, Emergency Department, Gary, IN 46402-6001 | 2012-06-28 |
| 1639465776 | Jude Kieltyka | Emergency Medicine | 600 Grant St, Gary, IN 46402-6001 | 2011-06-28 |
| 1548421498 | Mary Ella Kenefake | Emergency Medicine | 600 Grant St, Gary, IN 46402-6001 | 2008-06-23 |
| 1265692008 | Jacob Ryan Hennings | Emergency Medicine | 600 Grant St, Gary, IN 46402-6001 | 2008-06-16 |
| 1972762698 | Phillip James Kunz | Emergency Medicine | 600 Grant St, Gary, IN 46402-6001 | 2008-06-06 |
| 1831383934 | Cynthia Galvan | Emergency Medicine | 600 Grant St, Gary, IN 46402-6001 | 2007-08-31 |
| 1750394169 | Derek J Robinson | Emergency Medicine | 600 Grant St, Gary, IN 46402 | 2006-08-15 |
| Find all providers in GARY | ||||
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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.