Midwest Emergency Tell City, Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

MIDWEST EMERGENCY TELL CITY, INC

Practice address

8885 In-237
Tell City, IN 47586

Phone

(618) 624-3368

NPI assigned

Sep 29, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Carmon L Glover III, DONPI 1497701510

Title

Owner/President

Phone

(618) 624-3368

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmon L Glover III, DO

  • Emergency Medicine Physician
  • Belleville, IL
  • NPI 1497701510
  NPD (past) Authorized official
• Lena M Goffinet

  • Social Worker
  • Tell City, IN
  • NPI 1851728968
  NPD

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1699447540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692704",
            "telephone_number": "618-624-3368",
            "fax_number": "618-624-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 IN-237",
            "city": "TELL CITY",
            "state": "IN",
            "postal_code": "47586",
            "telephone_number": "618-624-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EMERGENCY TELL CITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "CARMON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "618-624-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Michelle Martin, RDN, LD
• Linda Sue Mathena, RN
• Janelle L Meade, APRN
• Medexpress Urgent Care, P.C. - Indiana
• Medical Services of America Inc
• Anthony Nickolas Miller, DDS
• Crystal Marie Miller, OTR/L
• Alice D Moesner, MSW
• Sergio Bruno Morales
• Bertha L Muenks, LCSW

• Emergency Medicine Physician in Tell City, IN
• Providers in Tell City, 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 Sep 29, 2021; 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.