Red Embers Emergency Physicians, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

RED EMBERS EMERGENCY PHYSICIANS, LLC

Practice address

367 Hospital Blvd
Jackson, TN 38305-2080

Phone

(469) 401-2386

NPI assigned

Nov 2, 2015

Last updated

Nov 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tenna Behm

Title

Officer

Phone

(469) 401-2386

Specialties & licenses 3

Addresses

Tax ID family

Red Embers Emergency Physicians LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Red Embers Emergency Physicians, LLC

  • Emergency Medicine Physician
  • McMinnville, TN
  • NPI 1629441506
  NPD tax ID
• Red Embers Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Dyersburg, TN
  • NPI 1659744530
  NPD tax ID

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1093188971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80107",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191010107",
            "telephone_number": "469-401-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 HOSPITAL BLVD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052080",
            "telephone_number": "469-401-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED EMBERS EMERGENCY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "BEHM",
        "authorized_official_first_name": "TENNA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "469-401-2386"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Reasons, NP
• Twanna A Reaves, OT
• Rebecca a. Griggs (Hope Medical Clinic)
• Mallory Mahala Record, MS, CCC-SLP
• Recovery Specialists of Mid South, LLC (Mid South Recovery)
• Redden Total Therapy-South, LLC
• Redden Total Therapy, LLC
• John H Redden, LPC
• Payton Michael Redden, M.P.T
• Shelley Coleman Redden, OT

• Emergency Medicine Physician in Jackson, TN
• Providers in Jackson, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.