Patsy S Detamore-Brush, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

01034065A Issued in IN

Practice address

822 S 500 W
Portland, IN 47371-8377

Phone

(260) 726-9027

Fax

(260) 726-9529

NPI assigned

Oct 24, 2006

Last updated

May 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Honeywell Emergency Physicians

  • Emergency Medicine Physician
  • Wabash, IN
  • NPI 1770741522
  NPD (past)
• Northern Indiana Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Bloomington, IN
  • NPI 1497185797
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1578646212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S 500 W",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473718377",
            "telephone_number": "260-726-9027",
            "fax_number": "260-726-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S 500 W",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473718377",
            "telephone_number": "260-726-9027",
            "fax_number": "260-726-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETAMORE-BRUSH",
        "first_name": "PATSY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01034065A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006740",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel J Daunhauer, MD
• David a. Fullenkamp, O.D., P.C.
• David a. Fullenkamp,OD, PC
• Andrew C Davidson
• Clifton James Derome
• Dori Ditty, MD
• Dunn Family Dental Care PC
• Thomas Edwin Dunn II, D.D.S.
• David C Dunnington, MD
• Camille Anne Elick-Shawver, NP

• Emergency Medicine Physician in Portland, IN
• Providers in Portland, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.