Emergency Professional Services, PC
Organization Active NPI Emergency Medicine Physician · Page, AZ
NPI 1104151786 · NPPES record last updated Sep 24, 2019
Key facts
- NPI
- 1104151786
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- EMERGENCY PROFESSIONAL SERVICES, PC
- Practice address
- 501 N Navajo Dr
Page, AZ 86040-9998 - Phone
- (480) 421-9700
- Fax
- (480) 421-9899
- NPI assigned
- Oct 15, 2009
- Organization subpart
- No
Authorized official
- Name
- Kathy Kondas
- Title
- Officer
- Phone
- (954) 838-2371
Other NPIs on the same Medicare enrollment 4
Practitioners 6
-
Aaron Knudson, D.O.
-
Teresa S Wu, MD
-
Leanne Yelle, NP
-
Eric Thomas Cummins, M.D.
-
Michael Steven Prescott, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040119000693 | AZ | Part B Supplier - Clinic/Group Practice | 6901707272 |
Receives reassigned benefits from 255 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Apache Junction, AZ; Phoenix, AZ; San Tan Valley, AZ |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
501 N Navajo Dr
Page, AZ 86040-9998
Mailing address
PO Box 15070
Scottsdale, AZ 85267-5070
Phone (408) 421-9700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 299839 | Medicaid | AZ |
Other providers in Page, AZ
- Desert Heights Family Clinic Professional Corporation
- Erin Nicole Dial-Duran
- Suzanne Tellez Diaz
- Drgoodeye LLC
- E Pell Wadleigh DDS PC
- Encompass Health Services
- Encompass Health Services Incorporated
- Encompass Health Services Incorporated
- Encompass Health Services, Inc
- Gerald Etsitty
All providers in Page, AZ · Emergency Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2019. 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.