Active NPI
Campbellsville Emergency Group LLC
- Emergency Medicine Physician
- Campbellsville, KY
National Provider Identifier
1215905856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- CAMPBELLSVILLE EMERGENCY GROUP LLC
- Practice address
- 1700 Old Lebanon Rd
Campbellsville, KY 42718-9662 - Phone
- (270) 465-3561
- NPI assigned
- Mar 9, 2006
- Last updated
- Dec 8, 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
- Dr. William 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 | NU | Primary | |
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
1700 Old Lebanon Rd
Campbellsville, KY 42718-9662
Mailing address
200 Corporate Blvd
Suite 201
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78904489 | Medicaid | KY | |
| 65943607 | Medicaid | KY | |
| 7100045230 | Medicaid | KY |
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": "1141862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323302400000",
"number": "1215905856",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 OLD LEBANON RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427189662",
"telephone_number": "270-465-3561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMPBELLSVILLE EMERGENCY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-09",
"last_updated": "2011-12-08",
"status": "A",
"authorized_official_last_name": "SCHUMACHER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "800-893-9698",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"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
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78904489",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65943607",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100045230",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Campbellsville, KY
- Jill Byrne
- Kelley Calhoun, MSSW, CSW
- Campbellsville Board of Education
- Campbellsville Chiropractic LLC
- Campbellsville Dental Care, PSC
- Campbellsville Health Facilities LP (Campbellsville Nursing and Rehabilitation Center)
- Campbellsville Operating Company LLC (Campbellsville Nursing and Rehabilitation Center)
- Campbellsville Physician Services LLC
- Caremed Rural LLC
- Jodi Lynn Carney, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.