Active NPI
James B. Emerson, DO
- Emergency Medicine Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 34007186
- Practice address
- 3404 W Sylvania Ave
Toledo, OH 43623-4467 - Phone
- (419) 407-2663
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34007186 | OH | Primary |
Addresses
Primary practice location
3404 W Sylvania Ave
Toledo, OH 43623-4467
Mailing address
2200 Jefferson Ave
4TH Floor
Toledo, OH 43624-1120
Phone (419) 251-2673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2182598 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34007186 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Tiffin Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
| Ohio Em-I Medical Services Professional Association | Emergency Medicine | Past | Accepting new patients |
| Midwest Emergency Management Ohio, Inc | Emergency Medicine | Past | Accepting new patients |
Locations
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900
885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991
1250 S Washington St
Van Wert, OH 45891
Phone (419) 232-2077
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Emergency Professional Services of Ohio, Inc.
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- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Tiffin, OH
- NPI 1154655850
-
- Emergency Medicine Physician
- Tiffin, OH
- NPI 1255696480
-
- Emergency Medicine Physician
- Tiffin, OH
- NPI 1003874298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1538155544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 JEFFERSON AVE",
"address_2": "4TH FLOOR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436241120",
"telephone_number": "419-251-2673",
"fax_number": "419-251-0916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3404 W SYLVANIA AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234467",
"telephone_number": "419-407-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERSON",
"first_name": "JAMES",
"middle_name": "B.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34007186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2182598",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.