Emergency Medicine Specialists, Inc.
Organization Active NPI Emergency Medicine Physician · Piqua, OH
NPI 1003433384 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1003433384
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- EMERGENCY MEDICINE SPECIALISTS, INC.
- Practice address
- 1 Kettering Way
Piqua, OH 45356-4109 - Phone
- (937) 916-2625
- NPI assigned
- Jul 2, 2020
- Organization subpart
- No
Authorized official
- Name
- William Brady, MD
- Title
- President
- Phone
- (937) 438-8910
Other NPIs on the same Medicare enrollment 12
Practitioners 1
-
Caitlin Martin, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031114000252 | OH | Part B Supplier - Clinic/Group Practice | 7315851359 |
Receives reassigned benefits from 187 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kettering, OH; Xenia, OH; Troy, OH; Springfield, OH; Middletown, OH; Miamisburg, OH; Huber Heights, OH; Franklin, OH… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1 Kettering Way
Piqua, OH 45356-4109
Mailing address
3131 Newmark Dr Ste 220
Miamisburg, OH 45342-5400
Phone (937) 438-8910
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0409433 | Medicaid | OH |
Other providers in Piqua, OH
- Wendy Christine Dysinger
- Bryan Earley
- Julie A Edgell
- Brian Adam Edwards
- Laura V Eilerman
- Mackenzie Ann Emrick
- Sierra D Engle
- Alicia Everman
- Eye Q Eye Care Inc
- Eye Q Eyecare Inc
All providers in Piqua, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.