Active NPI
Sterling Emergency Services of the Midwest, Inc
- Emergency Medicine Physician
- Benton, KY
National Provider Identifier
1013975762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- STERLING EMERGENCY SERVICES OF THE MIDWEST, INC
- Practice address
- 503 George McClain Dr
Benton, KY 42025-1331 - Phone
- (270) 527-4800
- Fax
- (904) 805-1302
- NPI assigned
- May 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert J Bunker
- Title
- Chairman/President/Ceo
- Phone
- (904) 805-1300
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
503 George McClain Dr
Benton, KY 42025-1331
Mailing address
PO Box 758749
Baltimore, MD 21275-0001
Phone (904) 805-1300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA2042 | Other | KY | RAIL ROAD MEDICARE |
| 65924268 | Medicaid | KY |
Other names 1
- Marshall County Emergency Department
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216771200000",
"number": "1013975762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 758749",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212750001",
"telephone_number": "904-805-1300",
"fax_number": "904-805-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 GEORGE MCCLAIN DR",
"city": "BENTON",
"state": "KY",
"postal_code": "420251331",
"telephone_number": "270-527-4800",
"fax_number": "904-805-1302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STERLING EMERGENCY SERVICES OF THE MIDWEST, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2008-07-23",
"status": "A",
"authorized_official_last_name": "BUNKER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CHAIRMAN/PRESIDENT/CEO",
"authorized_official_telephone_number": "904-805-1300"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "CA2042",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65924268",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Marshall County Emergency Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Benton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.