Mid-Ohio Emergency Physicians, LLP

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MID-OHIO EMERGENCY PHYSICIANS, LLP

Practice address

199 W Main St
Shelby, OH 44875-1490

Phone

(800) 701-3381

Fax

(231) 932-4133

NPI assigned

Feb 12, 2015

Last updated

Mar 23, 2022By 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

Derik K King, M.D.NPI 1376560912

Title

Managing Partner

Phone

(337) 609-1221

Specialties & licenses 1

Addresses

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.

• Derik K King, M.D., FACEP

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1376560912
  NPD (past) Authorized official

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1205227196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DR # 1122",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751122",
            "telephone_number": "800-701-3381",
            "fax_number": "231-932-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 W MAIN ST",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751490",
            "telephone_number": "800-701-3381",
            "fax_number": "231-932-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-OHIO EMERGENCY PHYSICIANS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DERIK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "337-609-1221",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medcentral Health System (MedCentral Medicare Defined Swing Bed Unit)
• Jody Mess
• Mary Metoyer, LPN
• Kelleah Anne Metzger
• Mid-Ohio Emergency Physicians LLP
• Mid-Ohio Podiatry Inc
• Mid-State Physicians LLP
• Midland Leasing Co., LLC (Crestwood Care Center)
• Alexandria Miller, LSW
• Cassaundra Elyzabeth Miller

• Emergency Medicine Physician in Shelby, OH
• Providers in Shelby, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.