Emergency Medicine Associates, PA
Organization Active NPI Emergency Medicine Physician · Aberdeen, MD
NPI 1609627082 · NPPES record last updated Dec 17, 2024
Key facts
- NPI
- 1609627082
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- EMERGENCY MEDICINE ASSOCIATES, PA
- Practice address
- 660 McHenry Rd
Aberdeen, MD 21001-2682 - Phone
- (844) 474-4019
- NPI assigned
- Apr 1, 2024
- Organization subpart
- No
Authorized official
- Name
- Jennifer Chastain
- Title
- Provider Enrollment
- Phone
- (330) 493-4443
Other NPIs on the same Medicare enrollment 10
Corporate family (same tax ID) 32
Practitioners 79
-
Ijeoma Amobi, PA-C
-
Susan Arnold, PA-C
-
Jeremy M Barth, PA-C
-
Sarah Caroline Bazyluk, PA-C
-
Kate Ashley Burke, PA-C
-
Eric Stephen Cawthon Sr., PHYSICIAN ASSISTANT
-
Stefanie R Coles, PA-C
-
Katherine E Conroy, PA-C
-
Daa'Iyah Rajeeyah Cooper, M.D.
-
Mark R Debuse, M.D.
-
Alvine Desamours, P.A.
-
Joy D Dubrovich, PA C
-
Chidex D Eugene-Francis, PA-C
-
Deborah Fisher, P.A.
-
Elizabeth Myers Fisher, PA-C
-
Marlee Fraker, PA-C
-
Abigail Grace Gallagher, PA-C
-
Jonathan David Hall, PA-C
-
Aisha Hasan, PA-C
-
Michael Hoaglan, PA-C
-
Gregory Jasani, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040126000955 | MD | Part B Supplier - Clinic/Group Practice | 8022914522 |
Receives reassigned benefits from 906 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bel Air, MD; Cambridge, MD; Chestertown, MD; Easton, MD; La Plata, MD; Prince Frederick, MD; Queenstown, MD; Randallstown, MD… |
National Provider Directory
- Tax ID family
- Emergency Medicine Associates PA PC
Locations
600 McHenry Rd
Aberdeen, MD 21001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
660 McHenry Rd
Aberdeen, MD 21001-2682
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Other providers in Aberdeen, MD
- Heather Lynn Dundas
- Karla Dyson
- Brian Edwards
- Jalen Ramel Elliott
- Gladimir Elysee
- Endeavour Healthcare LLC
- Anysia J Ensslen-Boggs
- Tochukwu Stanley Eriobu
- Tavon Evans
- Jason M Fay
All providers in Aberdeen, MD · Emergency Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.