NPIMap

Organization Active NPI

Emergency Medical Group, Inc

  • Emergency Care Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1407007933
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
71002749A Issued in IN
Legal business name
EMERGENCY MEDICAL GROUP, INC
Practice address
1701 N Senate Blvd
RM Ag001
Indianapolis, IN 46202-1239
Phone
(317) 962-8880
Fax
(317) 962-7086
NPI assigned
Oct 2, 2008
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Ms. Divina Colleen Reyes, NPNPI 1114179397
Title
Staff Nurse Practitioner
Phone
(317) 962-8880

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X 71002749A IN Primary

Addresses

Primary practice location

1701 N Senate Blvd
RM Ag001
Indianapolis, IN 46202-1239

Mailing address

1701 N Senate Blvd
RM Ag001
Indianapolis, IN 46202-1239
Phone (317) 962-8880

National Provider Directory

National Provider Directory
Tax ID family
Indiana University Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1701 Senate Blvd
Rm AG1
Indianapolis, IN 46202
Phone (317) 962-3886

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1407007933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "address_2": "RM AG001",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-8880",
            "fax_number": "317-962-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD",
            "address_2": "RM AG001",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-8880",
            "fax_number": "317-962-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "DIVINA",
        "authorized_official_middle_name": "COLLEEN",
        "authorized_official_title_or_position": "STAFF NURSE PRACTITIONER",
        "authorized_official_telephone_number": "317-962-8880",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "IN",
            "license": "71002749A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.