Emergency Medical Care LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

R8610 Issued in MO

Legal business name

EMERGENCY MEDICAL CARE LLC

Practice address

500 Medical Dr
Wentzville, MO 63385-3421

Phone

(636) 327-1100

Fax

(616) 532-7230

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

David Fouts, MD

Title

Head of Group

Phone

(800) 968-6866

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1619979929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790129",
            "address_2": "DEPT EC",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631790129",
            "telephone_number": "800-968-6866",
            "fax_number": "616-532-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853421",
            "telephone_number": "636-327-1100",
            "fax_number": "616-532-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "FOUTS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "HEAD OF GROUP",
        "authorized_official_telephone_number": "800-968-6866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "R8610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "196690",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.