Emergency Medicine Specialists, Inc
Organization Active NPI Emergency Medicine Physician · Xenia, OH
NPI 1083982888 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1083982888
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- EMERGENCY MEDICINE SPECIALISTS, INC
- Practice address
- 1141 N Monroe Dr
Xenia, OH 45385-1619 - Phone
- (937) 352-2685
- NPI assigned
- Dec 7, 2011
- Organization subpart
- No
Authorized official
- Name
- William Brady
- Title
- President
- Phone
- (937) 438-8910
Other NPIs on the same Medicare enrollment 12
Practitioners 81
-
Bridgette Nicole Antolin, PA-C
-
Mark Bustillo, DO
-
Michael Edward Dowler, D.O.
-
Ryan Garrett, MD
-
Michael W. Good, MD
-
Stephanie Lynn Maus, D.O.
-
Jennifer Roth, APRN, FNP-C
-
Vishal Tharani, DO, MPH
-
Levi Altic, PA-C
-
Usman B. Asad, M.D.
-
Douglas Bias, M.D.
-
Taylor Birch, PA
-
Laura Elizabeth Bohn, APRN.CNP
-
Ryan M. Box, D.O.
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
1141 N Monroe Dr
Xenia, OH 45385-1619
Mailing address
3131 Newmark Dr Ste 220
Miamisburg, OH 45342-5400
Phone (937) 436-4658
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0058114 | Medicaid | OH |
Other providers in Xenia, OH
- Amanda Elrod
- Evan Ely
- Sondra Elzey
- Emerge Recovery and Trades Initiative
- Emerge Recovery and Trades Initiative
- Patricia Engle
- Tyra Kaye English
- Kathleen E Estabrook
- Alice Estepp
- Mary K Estle
All providers in Xenia, 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.