Elite Emergency Russellville PLLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

ELITE EMERGENCY RUSSELLVILLE PLLC

Practice address

12 Cadillac Dr
Suite 150
Brentwood, TN 37027-5272

Phone

(615) 928-6275

Fax

(615) 760-5985

NPI assigned

Jun 10, 2015

Last updated

Apr 3, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chad Somerby

Title

VP Operations

Phone

(615) 928-6275

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1740661354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CADILLAC DR",
            "address_2": "SUITE 150",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275272",
            "telephone_number": "615-928-6275",
            "fax_number": "615-760-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CADILLAC DR",
            "address_2": "SUITE 150",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275272",
            "telephone_number": "615-928-6275",
            "fax_number": "615-760-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE EMERGENCY RUSSELLVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "SOMERBY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "615-928-6275",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Egan Merkley, APRN-BC, FNP-C
• Lindsay Hannah Einbinder
• Warren J Eisenstein, M.D.
• Iordanis Ekimogloy
• Mohamed Elashhat
• Elite Healthcare Alliance, PLLC
• Elite Physicians Group
• Elite Sports Medicine and Orthopaedic Center, PLC
• Chad David Elkin, M.D.
• Patrick Lee Ellington

• Emergency Medicine Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Emergency Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.