JEFFREY A. JUSTUS (NPI# 1811023864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811023864 |
| Entity Type | Individual |
| Full Name | JEFFREY A. JUSTUS |
| Credential | D.O. |
| Practice Address |
301 Henry St North Vernon IN 47265-1030 |
| Mailing Address |
1700 South B St. Richmond IN 47374 |
| Practice Telephone | 8123524200 |
| Mailing Telephone | 7659693510 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2013-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 02000790 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100373310 | 05 |
| Street Address |
301 HENRY ST |
| City | NORTH VERNON |
| State | IN |
| Zip Code | 47265-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659368629 | Stephanie M Johnson | Emergency Medicine | 301 Henry St, North Vernon, IN 47265-1030 | 2005-10-04 |
| 1578918918 | Chelsea Faith Dugle | Physician Assistant | 301 Henry St, North Vernon, IN 47265-1030 | 2016-05-03 |
| 1265802409 | Katherine Conover | Nurse Practitioner | 301 Henry St, North Vernon, IN 47265-1030 | 2015-09-30 |
| 1821493347 | Bradley Stephens | Nurse Practitioner | 301 Henry St, Building B, North Vernon, IN 47265-1030 | 2014-10-27 |
| 1659796555 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 301 Henry St, North Vernon, IN 47265-1030 | 2014-02-28 |
| 1194159426 | Indiana Emergency Physicians, LLP | Emergency Medicine | 301 Henry St, North Vernon, IN 47265-1030 | 2013-08-22 |
| 1093158925 | Shelley L Clark | Nurse Practitioner | 301 Henry St, North Vernon, IN 47265-1030 | 2013-04-10 |
| 1003180548 | St. Vincent Medical Group, Inc. | Clinic/Center | 301 Henry St, Building B, North Vernon, IN 47265-1030 | 2012-03-01 |
| 1376816975 | St. Vincent Medical Group, Inc. | Clinic/Center | 301 Henry St, North Vernon, IN 47265-1030 | 2012-02-14 |
| 1801167960 | Karrie Lynn Reuter | Nurse Practitioner | 301 Henry St, Building B, North Vernon, IN 47265-1030 | 2012-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306492723 | Lariann Rumph | Pharmacist | 14 North State Street, North Vernon, IN 47265 | 2019-08-12 |
| 1649798307 | Activate Healthcare - Nvic Clinic | Clinic/Center | 3750 4th Street, North Vernon, IN 47265 | 2017-09-01 |
| 1104372333 | Wecare Tlc - Jcsc Health and Wellness Center | Clinic/Center | 1800 Commercial Dr, North Vernon, IN 47265 | 2016-08-28 |
| 1053715987 | Erika Duran | Pharmacist | 9 N State Street, North Vernon, IN 47265 | 2014-10-21 |
| 1053720946 | Melissa R Hunter Lmhc LLC | Counselor | 753 North State Street, Suite A, North Vernon, IN 47265 | 2014-08-05 |
| 1962731075 | North Vernon Fire Department | Ambulance | 2000 North Madison Ave, North Vernon, IN 47265 | 2009-12-18 |
| 1063544989 | Quinco Consulting Center Inc | Clinic/Center | 299 W Hayden Pike, North Vernon, IN 47265 | 2007-03-09 |
| 1972635894 | Quinco Consulting Center Inc | Clinic/Center | 601 N Henry Street, North Vernon, IN 47265 | 2007-03-09 |
| 1659406528 | Jennings County Auditor | Ambulance | 925 South State Street, North Vernon, IN 47265 | 2007-02-22 |
| 1780729822 | Southern Indiana Orthopedics | Durable Medical Equipment & Medical Supplies | 1810 North Commercial Drive, North Vernon, IN 47265 | 2007-02-20 |
| Find all providers in zip 47265 | ||||
| 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 |
|---|---|---|---|---|
| 1659368629 | Stephanie M Johnson | Emergency Medicine | 301 Henry St, North Vernon, IN 47265-1030 | 2005-10-04 |
| 1194159426 | Indiana Emergency Physicians, LLP | Emergency Medicine | 301 Henry St, North Vernon, IN 47265-1030 | 2013-08-22 |
| 1861783326 | Indiana Physician Management-jennings, LLC | Emergency Medicine | 301 Henry St, North Vernon, IN 47265 | 2011-05-02 |
| 1093767253 | Sesame Dijeng | Emergency Medicine | 301 Henry St, North Vernon, IN 47265-1063 | 2006-05-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NORTH VERNON |
| Zip Code | 47265 |
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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.