Active NPI
Quentin B Emerson, M.D.
- Family Medicine Physician
- Fort Branch, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01027038
- Practice address
- 7861 S Professional Dr
Fort Branch, IN 47648-8405 - Phone
- (812) 753-4181
- Fax
- (812) 753-4399
- NPI assigned
- Aug 2, 2006
- Last updated
- Mar 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01027038 | IN | Primary |
Addresses
Primary practice location
7861 S Professional Dr
Fort Branch, IN 47648-8405
Mailing address
PO Box 185
Fort Branch, IN 47648-0185
Phone (812) 753-4181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100122120 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1975
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7861 S Professional Dr
Ft Branch, IN 47648-8405
Phone (812) 753-4181
Hospital & facility affiliations
- Deaconess Home Health, LLC
- Heritage Hospice Inc
- Deaconess Hospital Inc
- Gibson General Hospital
- Ascension St Vincent Evansville
- The Women's Hospital
- Riveroaks Health Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 45 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01027038 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Gibson Medical Clinic Inc. | Family Medicine | Current | Accepting new patients |
Locations
7861 S Professional Dr
Fort Branch, IN 47648
Phone (812) 753-4181
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Fort Branch, IN
- NPI 1659538841
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Evansville, IN
- NPI 1285285676
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1114023512
-
- Critical Access Hospital
- Princeton, IN
- NPI 1558346007
-
dba RiverOaks Health Campus
- Skilled Nursing Facility
- Princeton, IN
- NPI 1467564047
Nursing home
-
dba Ascension St. Vincent Evansville
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1427065341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 185",
"city": "FORT BRANCH",
"state": "IN",
"postal_code": "476480185",
"telephone_number": "812-753-4181",
"fax_number": "812-753-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7861 S PROFESSIONAL DR",
"city": "FORT BRANCH",
"state": "IN",
"postal_code": "476488405",
"telephone_number": "812-753-4181",
"fax_number": "812-753-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "QUENTIN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01027038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100122120",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Branch, IN
- Deaconess Clinic Inc
- Deaconess Clinic, Inc (Deaconess Clinic I)
- Deaconess Hospital Inc
- Deaconess Hospital, Inc (Deaconess Medical Group - Ft Branch)
- Ethel A Elkins, LCSW
- Nichole Epperson, LCSW
- Errand Runners LLC
- Gibson General Hospital, Inc (Deaconess Gibson Ft Branch)
- Tara Greenlee, LCSW
- Herman L. Reid III MD LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.