Clarksville Emergency Group, PC
Organization Active NPI Emergency Medicine Physician · Corydon, IN
NPI 1023487154 · NPPES record last updated Jul 21, 2023
Key facts
- NPI
- 1023487154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- CLARKSVILLE EMERGENCY GROUP, PC
- Practice address
- 1141 Hospital Dr NW
Corydon, IN 47112-2164 - Phone
- (800) 893-9698
- NPI assigned
- Sep 18, 2015
- Organization subpart
- No
Authorized official
- Name
- Christopher P Lipsmeyer, MD
- Title
- President
- Phone
- (337) 609-1221
Practitioners 257
-
Anas Alzuhaili, M.D.
-
Kristen Brianne Barrick, FNP-C
-
Martha Bartkus, NP
-
Theodore Allen Barzso, D.O.
-
Jacob Bledsoe, DO
-
Jordan Taylor Brown, M.D.
-
June Barco Brown, M.D.
-
Eric T Cook, DO
-
Rachel Courtney, M.D PH.D
-
David Cummins, M.D.
-
John A Desalvo, DO
-
Alanna Diamond, MD
-
Grace W Duarte, DO
-
Renato M Durham, M.D.
-
Kathleen Exner, ARPN
-
David B. Farman, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201125002335 | IN | Part B Supplier - Clinic/Group Practice | 6507277423 |
Receives reassigned benefits from 251 practitioners Practice locations: Corydon, IN; Rensselaer, IN; Munster, IN; Michigan City, IN; Lafayette, IN; La Porte, IN; Dyer, IN; Crown Point, IN… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | IN | Yes | |
| Physician Assistant |
363A00000X | IN | ||
| Nurse Practitioner |
363L00000X | IN |
Addresses
Primary practice location
1141 Hospital Dr NW
Corydon, IN 47112-2164
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Other practice location 1
1010 W State Road 2
LA Porte, IN 46350-5465
Phone (219) 575-6700
Other practice location 2
1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 738-2100
Other practice location 3
1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone (765) 502-4000
Other practice location 4
3500 Franciscan Way
Michigan City, IN 46360-0021
Phone (219) 879-8511
Other practice location 5
701 Superior Ave
Munster, IN 46321-4037
Phone (219) 922-4200
Other practice location 6
770 Indian Boundary Rd
Chesterton, IN 46304-1519
Phone (219) 921-2000
Other practice location 7
1710 Lafayette Rd
Crawfordsville, IN 47933-1033
Phone (765) 362-2800
Other practice location 8
1104 E Grace St
Rensselaer, IN 47978-3211
Phone (219) 866-5141
Other practice location 9
24 Joliet St
Dyer, IN 46311-1705
Phone (219) 865-2141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300045120 | Medicaid | IN |
Other providers in Corydon, IN
- Daniel James Cheney
- Chest Medicine Associates P.S.C
- Chest Medicine Associates PSC
- William Cho
- Christie Michelle Clare
- Clarksville Physician Services PC
- Michele Clifton
- Lisa Faye Clunie
- Scott D Cobel
- Stefanie Ann Colavito
All providers in Corydon, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2023. 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.