Ess of Carroll County LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

ESS OF CARROLL COUNTY LLC

Practice address

1502 N Jefferson St
Carrollton, MO 64633-1948

Phone

(660) 542-1695

NPI assigned

Mar 9, 2020

Organization subpart

No

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Emergency Staffing Solutions Inc

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1477590974

  Member Of

  NPD member

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Ron Weiss

Title

Ceo

Phone

(866) 931-8882

Specialties & licenses 1

Addresses

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1003441122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17304 PRESTON RD STE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525633",
            "telephone_number": "866-931-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N JEFFERSON ST",
            "city": "CARROLLTON",
            "state": "MO",
            "postal_code": "646331948",
            "telephone_number": "660-542-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESS OF CARROLL COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-09",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-931-8882",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Julia Curry, LPTA
• Defibaugh Therapy Services, LLC
• Kimberly Degennaro
• Shelly Dorton
• Grazyna E Dymek, MD
• Bertrand Fontem, PHARMD
• Jordan Francis, MA, LPC
• Arlene Capistrano Germann, ISL OWNER DIRECTOR
• James Mitchell Germann, ASSISTANT DIRECTOR C
• Triniti Gibson, COTA/L

• All providers in Carrollton, MO
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.