Legatus Emergency Services

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

LEGATUS EMERGENCY SERVICES

Practice address

17 Ginger Creek MDWS
Glen Carbon, IL 62034-3508

Phone

(618) 656-9777

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Matthew Wilkinson, MD

Title

Head of This Facility

Phone

(800) 968-6866

Specialties & licenses 1

Addresses

Tax ID family

Legatus Emergency Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Legatus Emergency Services LLC

  • Emergency Medicine Physician
  • Maryville, IL
  • NPI 1588666804
  NPD tax ID

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235131558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 GINGER CREEK MDWS",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343508",
            "telephone_number": "618-656-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 GINGER CREEK MDWS",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343508",
            "telephone_number": "618-656-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGATUS EMERGENCY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "HEAD OF THIS FACILITY",
        "authorized_official_telephone_number": "800-968-6866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laboratoryt Corporation of America
• Ashley Lack, MPT
• Sharon Lahaie
• Lacie Christine Lamay, WHNP
• Carolyn Leftridge, PTA
• Jillian Lemons
• Nakera Lewis
• Lion Sleep Labs Inc
• Heather Renee Lipe, LCSW
• Pamela Long, OT

• Emergency Medicine Physician in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Emergency Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.