State Line Hospitalists, LLP

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

STATE LINE HOSPITALISTS, LLP

Practice address

100 Jackson Pike
Gallipolis, OH 45631-1560

Phone

(740) 446-5000

NPI assigned

Jan 21, 2015

Organization subpart

No

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

Authorized official

Name

Derik K King, M.D.

Title

Managing Partner

Phone

(866) 916-5259

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1477942977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMIT DR # 1367",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751367",
            "telephone_number": "740-446-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311560",
            "telephone_number": "740-446-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE LINE HOSPITALISTS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DERIK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "866-916-5259",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica K Stanley, APRN
• Kelley Michele Stanley
• Kierstin Stanley, MS, CCC-SLP
• Linda Marie Stanley
• Michael Scott Stanley, LSW, CDCA
• Rebecca Stearns, PHD,RD,LD
• Tracy Lynn Steger, PMHNP-BC
• Lisa Dawn Stepp, APRN
• Autumn Stewart
• Kimberly Grace Stewart

• Emergency Medicine Physician in Gallipolis, OH
• Providers in Gallipolis, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.