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Organization Active NPI

Spfld Urb Emergency Physicians Inc

Doing business as Spfld Urb Emergency Physicians Inc/Mercy Springfield

  • Emergency Medicine Physician
  • Springfield, OH
National Provider Identifier
1679574552
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1371641 Issued in OH
Legal business name
SPFLD URB EMERGENCY PHYSICIANS INC
Doing business as
Spfld Urb Emergency Physicians Inc/Mercy Springfield
Practice address
1343 N Fountain Blvd
Springfield, OH 45504-1422
Phone
(937) 390-5000
Fax
(937) 390-5526
NPI assigned
Aug 2, 2005
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. William A Cole Jr., MDNPI 1417901299
Title
Ceo
Phone
(800) 726-3627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1371641 OH Primary

Addresses

Primary practice location

1343 N Fountain Blvd
Springfield, OH 45504-1422

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other identifiers 6

IdentifierTypeStateIssuer
000000300375OtherOHBC/BS GRP PROVIDER NUMBER
203421OtherOHEEOICP GRP PROVIDER#
020408200OtherOHFEDERAL BLACK LUNG GRP #
202821900OtherOHDEPARTMENT OF LABOR GRP #
C35743OtherOHHUMANA GRP NUMBER
2417861MedicaidOH

Other names 1

  • Spfld Urb Emergency Physicians Inc/Mercy Springfield Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spfld Urb Emergency Physicians Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1679574552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 N FOUNTAIN BLVD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041422",
            "telephone_number": "937-390-5000",
            "fax_number": "937-390-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPFLD URB EMERGENCY PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-726-3627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "1371641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GRP PROVIDER NUMBER",
            "identifier": "000000300375",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EEOICP GRP PROVIDER#",
            "identifier": "203421",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG GRP #",
            "identifier": "020408200",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR GRP #",
            "identifier": "202821900",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA GRP NUMBER",
            "identifier": "C35743",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2417861",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spfld Urb Emergency Physicians Inc/Mercy Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.