Mid America Emergency Medicine

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

085005966 Issued in IL

Legal business name

MID AMERICA EMERGENCY MEDICINE

Practice address

700 N First St
Springfield, IL 62781-0001

Phone

(217) 788-3156

Fax

(217) 788-6459

NPI assigned

Sep 21, 2016

Organization subpart

No

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

Authorized official

Name

Miss Ellen O'Brien Atwood, PA-CNPI 1487104303

Title

Physician Assistant

Phone

(618) 530-1950

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen O'Brien Atwood, PA-C

  • Physician Assistant
  • Saint Charles, MO
  • NPI 1487104303
  NPD (past) Authorized official

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474416000000",
    "number": "1063960870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N PARK AVE APT A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627026401",
            "telephone_number": "618-530-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N FIRST ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627810001",
            "telephone_number": "217-788-3156",
            "fax_number": "217-788-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID AMERICA EMERGENCY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A",
        "authorized_official_last_name": "ATWOOD",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "O'BRIEN",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "618-530-1950",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "085005966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madalyn Leigh Michael, DO
• Jason R Michaels, MD
• Brenda L Michel, FNP-BC
• Michelle Krieger Counseling Incorporated
• Jay William Lewis Michels, D.O.
• Middleton Dental LLC
• Bethany Middleton, DMD, MS
• John Zachary Middleton, DMD
• Midwest Clinical Counseling
• Midwest Dialectical Behavior Therapy, LLC

• General Acute Care Hospital in Springfield, IL
• Providers in Springfield, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.