Emergency Medicine Specialists Inc
Organization Active NPI Emergency Medicine Physician · Miamisburg, OH
NPI 1366428575 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1366428575
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- EMERGENCY MEDICINE SPECIALISTS INC
- Practice address
- 4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615 - Phone
- (937) 384-8791
- Fax
- (937) 384-8740
- NPI assigned
- Dec 20, 2005
- Organization subpart
- No
Authorized official
- Name
- William Brady, MD
- Title
- President
- Phone
- (937) 438-8910
Other NPIs on the same Medicare enrollment 12
Practitioners 247
-
Levi Altic, PA-C
-
Alan A Dupre, M.D.
-
Bonnie Marmora, MD
-
Matthew Oram, MD
-
Sarah Beth Orr, MD
-
Son Phuong Pham, M.D.
-
Shawn Michael Priem, D.O.
-
Owen Scott, M.D.
-
Sharon T Sobecki, NP
-
Brian L Springer, MD
-
Amanda Stegemiller, PA-C
-
Marni A Teramana, DO
-
Krystle Torok, D.O.
-
Jennifer Watkins, CNP
-
Julie C Williams, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031114000252 | OH | Part B Supplier - Clinic/Group Practice | 7315851359 |
Receives reassigned benefits from 187 practitioners 12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kettering, OH; Xenia, OH; Troy, OH; Springfield, OH; Middletown, OH; Miamisburg, OH; Huber Heights, OH; Franklin, OH… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Mailing address
3131 Newmark Dr Ste 220
Miamisburg, OH 45342-5400
Phone (937) 436-4658
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2115008 | Medicaid | OH |
Other providers in Miamisburg, OH
- Branden Michael Eikenberry
- Madelyn Eisenhour
- Vivian Elebiyo
- Elleete Express
- Kelechi Nnamdi Emereonye
- Jessica C Emmons
- Dale E English II
- Jon-Ross Jesse Rene Ennest
- Ashley Enright
- Osayi Marion Ero
All providers in Miamisburg, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. 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.