EMGI CLARIAN NORTH, LLC (NPI# 1780612242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780612242 |
| Entity Type | Organization |
| Organization Name | EMGI CLARIAN NORTH, LLC |
| Practice Address |
11700 N Meridian Street Carmel IN 46032 |
| Mailing Address |
2449 Reliable Parkway Chicago IL 60686-0001 |
| Practice Telephone | 3178026298 |
| Mailing Telephone | 3178026298 |
| Mailing Fax Number | 3178700499 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2011-02-28 |
| Authorized Official Name | CHARLES SHUFFLEBARGER (PRESIDENT) |
| Authorized Official Telephone | 3178026298 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200540190A | 05 |
| Street Address |
11700 N MERIDIAN STREET |
| City | CARMEL |
| State | IN |
| Zip Code | 46032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| 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 |
|---|---|---|---|---|
| 1972834372 | Dominic Lindeque | Emergency Medicine | 677 Newbury St, Carmel, IN 46032-6043 | 2010-01-25 |
| 1497985949 | Rodney Eugene Corson | Emergency Medicine | 10921 Lakeview Dr, Carmel, IN 46033-3936 | 2009-07-17 |
| 1184792640 | Tatyana Shkolnikov | Emergency Medicine | 11 Fair Street, Carmel, NY 10513 | 2006-12-01 |
| 1730119926 | Eos Medical Group PC | Emergency Medicine | 666 Stoneleigh Ave, Carmel, NY 10512 | 2006-07-03 |
| 1700827029 | Ellen T Antoine | Emergency Medicine | 40 N Rangeline Rd, Carmel, IN 46032-1741 | 2006-06-09 |
| 1699767848 | Paulalan E Genstler | Emergency Medicine | 555 Aguajito Rd, Carmel, CA 93923-9464 | 2005-08-15 |
| 1164803706 | Courtney Kingery Soley | Emergency Medicine | 11700 N Meridian St, Carmel, IN 46032-4656 | 2015-06-09 |
| 1689806432 | Cory R. Long | Emergency Medicine | 11700 N Meridian St, Carmel, IN 46032-4656 | 2009-08-12 |
| 1144458308 | Jaime Sarah Funk | Emergency Medicine | 670 Stoneleigh Ave, Carmel, NY 10512-3997 | 2009-06-26 |
| 1619120334 | Mathew J Rose | Emergency Medicine | 11700 N Meridian St, Carmel, IN 46032-4656 | 2008-10-25 |
| Find all providers in CARMEL | ||||
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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.