Active NPI
Madison Emergency Group LLC
- Emergency Medicine Physician
- Canton, MS
National Provider Identifier
1164717765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- MADISON EMERGENCY GROUP LLC
- Practice address
- 161 River Oaks Drive
Canton, MS 39046-4938 - Phone
- (601) 859-1331
- Fax
- (601) 855-5377
- NPI assigned
- Jun 13, 2011
- Last updated
- Aug 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William C Schumacher, MD
- Title
- Ceo
- Phone
- (800) 893-9698
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
161 River Oaks Drive
Canton, MS 39046-4938
Mailing address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Opelousas, LA
- NPI 1356302004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313971200000",
"number": "1164717765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"address_2": "SUITE 201",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698",
"fax_number": "337-371-4605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 RIVER OAKS DRIVE",
"city": "CANTON",
"state": "MS",
"postal_code": "390464938",
"telephone_number": "601-859-1331",
"fax_number": "601-855-5377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADISON EMERGENCY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-13",
"last_updated": "2011-08-22",
"status": "A",
"authorized_official_last_name": "SCHUMACHER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "800-893-9698",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MS
- Nicole M Mack
- Madison Ambulatory Surgery Center, LLC
- Madison County Citizens Services Agency
- Madison County General Hospital (Madison County Nursing Home)
- Madison County Nursing Home
- Madison Hma (Patients Choice Senior Care of Madison County)
- Madison Hma LLC
- Madison Hma LLC (Merit Health Madison)
- Madison Hma Physician Management LLC
- Madison Hma Physician Management, Inc.-Crnas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.