ICH-EPG ALLIANCE, LLC (NPI# 1679005557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679005557 |
| Entity Type | Organization |
| Organization Name | ICH-EPG ALLIANCE, LLC |
| Practice Address |
217 S 3rd St Danville KY 40422-1823 |
| Mailing Address |
318 Maxwell Rd Suite 500 Alpharetta GA 30009-2063 |
| Practice Telephone | 8592395008 |
| Practice Fax Number | 8592396793 |
| Mailing Telephone | 7707400895 |
| Mailing Fax Number | 7707400896 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-05-09 |
| Authorized Official Name | MR. DAN A. FULLER (PRESIDENT) |
| Authorized Official Telephone | 7707400895 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
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 |
217 S 3RD ST |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219835 | Joan Barker Haltom | Pharmacist | 217 S 3rd St, Pharmacy, Danville, KY 40422-1823 | 2005-07-14 |
| 1841801784 | Empact Midwest LLC | Physician Assistant | 217 S 3rd St, Danville, KY 40422-1823 | 2020-08-13 |
| 1548880206 | Hillary Hutchison | Registered Nurse | 217 S 3rd St, Danville, KY 40422-1823 | 2020-04-23 |
| 1346884095 | Jennifer L Devine | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2019-11-05 |
| 1205309390 | Cortney Renee Conklin | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2019-01-10 |
| 1659841088 | Andrea Michelle Tompkins | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2018-11-28 |
| 1376026252 | Michael Kyle Allen | Physician Assistant | 217 S 3rd St, Danville, KY 40422-1823 | 2018-09-07 |
| 1366938441 | Jordan Brittany Crutchfield | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2018-07-02 |
| 1780191031 | Hendra Yosia Sitompul | Nurse Anesthetist, Certified Registered | 217 S 3rd St, Danville, KY 40422-1823 | 2018-01-09 |
| 1023546942 | Beth Ann Burchett | Nurse Practitioner | 217 S 3rd St, Danville, KY 40422-1823 | 2017-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| 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 |
|---|---|---|---|---|
| 1720620768 | Rachel L Arnold | Emergency Medicine | 702 N Maple Ave, Danville, KY 40422-1147 | 2019-10-10 |
| 1205340825 | Northern California Emergency Medicine Group | Emergency Medicine | 167 Oakridge Dr, Danville, CA 94506-3106 | 2017-11-17 |
| 1679960108 | Bo Zhu | Emergency Medicine | Geisinger Medical Ctr 100 North Academy Avenue, Danville, PA 17822-0001 | 2015-04-22 |
| 1225430648 | Go Docs LLC | Emergency Medicine | 949 Piney Forest Road, Danville, VA 24540-1593 | 2014-09-17 |
| 1902153711 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 133 Enterprise Dr, Danville, VA 24540-4071 | 2012-08-10 |
| 1518196278 | Kevin M Finnerty | Emergency Medicine | Geisinger Medical Center 100 North Academy Ave, Danville, PA 17822-0001 | 2009-07-02 |
| 1932241528 | Benjamin Moss | Emergency Medicine | 1522 Webster Rd, Danville, KY 40422-9063 | 2007-02-12 |
| 1265449672 | Mary Elizabeth Hermann | Emergency Medicine | 450 Columbia Hill Rd, Danville, PA 17821-9310 | 2006-08-01 |
| 1225064132 | Ramon Joson Gomez | Emergency Medicine | Danville Regional Medical Center, 142 S. Main Street, Danville, VA 24541 | 2006-06-23 |
| 1275510174 | Anne Li | Emergency Medicine | Credentialling Office, 1900 E Main St, Danville, IL 61832-1000 | 2005-12-30 |
| Find all providers in DANVILLE | ||||
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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.