RED EMBERS EMERGENCY PHYSICIANS, LLC (NPI# 1629441506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629441506 |
| Entity Type | Organization |
| Organization Name | RED EMBERS EMERGENCY PHYSICIANS, LLC |
| Practice Address |
1559 Sparta St Mcminnville TN 37110-1316 |
| Mailing Address |
Po Box 80107 Philadelphia PA 19101-0107 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-18 |
| Authorized Official Name | TENNA BEHM (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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659744530 | Red Embers Emergency Physicians, LLC | Physician Assistant | 400 E Tickle St, Dyersburg, TN 38024-3120 | 2015-11-02 |
| 1093188971 | Red Embers Emergency Physicians, LLC | Physician Assistant | 367 Hospital Blvd, Jackson, TN 38305-2080 | 2015-11-02 |
| Street Address |
1559 SPARTA ST |
| City | MCMINNVILLE |
| State | TN |
| Zip Code | 37110-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003813874 | Keith Phillip Webb | Internal Medicine | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2005-07-07 |
| 1871193771 | Jon Mark Ivey | Occupational Therapist | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2020-10-29 |
| 1851991756 | Rebecca Deann Lafevor | Occupational Therapist | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2020-10-29 |
| 1144834359 | Jason Wayne Cash | Nurse Anesthetist, Certified Registered | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2020-09-04 |
| 1689144081 | Anatoliy Smyrnov | Physical Therapist | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2018-11-28 |
| 1144756800 | Haley Smith | Emergency Medicine | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2017-05-02 |
| 1861925638 | Danielle Claflin | Emergency Medicine | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2017-04-07 |
| 1902279771 | Atlas Emergency Physicians, Pllc | Physician Assistant | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2015-11-03 |
| 1710368220 | Saint Thomas River Park Hospital, LLC | Rehabilitation Unit | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2015-06-11 |
| 1508247016 | Saint Thomas River Park Hospital, LLC | Medicare Defined Swing Bed Unit | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2015-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223984 | Ramila, LLC | Pharmacy | 2652, Old Nashville Hwy, Mcminnville, TN 37110 | 2020-10-22 |
| 1598319055 | Ashley Nicole Hobbs | Registered Nurse | 1401 Sparta Street, Mcminnville, TN 37110 | 2019-08-01 |
| 1033476734 | Samantha Brooke Johnson | Occupational Therapy Assistant | 928 Old Smithville Road, Mcminnville, TENNESSEE 37110 | 2012-04-18 |
| 1245500800 | Jennifer Ann Strunk | Social Worker | 306 N. Chancery Street, Mcminnville, TN 37110 | 2012-01-12 |
| 1477858322 | Nancy M Walker | Pharmacist | 912 N Chancery Street, Mcminnville, TN 37110 | 2011-01-24 |
| 1811225568 | Mcminnville Boarding Home for The Elderly | Assisted Living Facility | 345 Garfield St., Mcminnville, TN 37110 | 2009-11-18 |
| 1750571246 | Jeremy Lee Sanders | Pharmacist | 1100 New Smithville Hwy Suite 114, Mcminnville, TN 37110 | 2007-07-31 |
| 1144383522 | Britt Allan King | Occupational Therapist | 128 Old Smithville Hwy, Mcminnville, TN 37110 | 2006-12-18 |
| 1952478992 | Jeanne Kay Ball | Physical Therapy Assistant | Nhc Mcminneville, 928 Old Smithville Rd, Mcminnville, TN 37110 | 2006-11-28 |
| 1760559702 | Amy Cheryl Fox | Occupational Therapy Assistant | Nhc Mcminnville 928 Old Smithville Rd, Mcminnville, TN 37110 | 2006-11-28 |
| Find all providers in zip 37110 | ||||
| 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 |
|---|---|---|---|---|
| 1144756800 | Haley Smith | Emergency Medicine | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2017-05-02 |
| 1861925638 | Danielle Claflin | Emergency Medicine | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2017-04-07 |
| 1982951034 | Cumberland Caverns Emergency Physicians LLC | Emergency Medicine | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2012-08-08 |
| 1467719757 | Thomas Cronin | Emergency Medicine | 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 | 2012-04-12 |
| 1639241763 | Kyle John Shaver | Emergency Medicine | 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 | 2006-11-14 |
| 1184719940 | Paul Daniel Dale | Emergency Medicine | 207 Ne 19th St, Mcminnville, OR 97128-9927 | 2006-10-04 |
| 1417971771 | Thomas R Winston | Emergency Medicine | 1559 Sparta St, Mcminnville, TN 37110-1316 | 2006-07-27 |
| 1154355063 | Helge R Berg | Emergency Medicine | 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 | 2006-07-10 |
| 1194759902 | Ricardo Carlon | Emergency Medicine | 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 | 2006-07-10 |
| 1326072141 | Francisco Arroyo | Emergency Medicine | 2700 Se Stratus Ave, Mcminnville, OR 97128-6255 | 2006-07-10 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 37110 |
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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.