Emergency Services Corporation of America

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

EMERGENCY SERVICES CORPORATION OF AMERICA

Doing business as

Physician's Urgent Care

Practice address

225 N Willow Ave
Cookeville, TN 38501-2335

Phone

(931) 525-5454

Fax

(931) 520-7655

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Pushpendra K Jain, M.D.

Title

Ceo

Phone

(931) 525-5454

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Physician's Urgent Care Doing business as

Locations

Practitioners 1

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

• Kimber Janine Logan, PA

  • Physician Assistant
  • Cookeville, TN
  • NPI 1467637736
  NPD

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1841338753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012335",
            "telephone_number": "931-525-5454",
            "fax_number": "931-520-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012335",
            "telephone_number": "931-525-5454",
            "fax_number": "931-520-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY SERVICES CORPORATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "PUSHPENDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-525-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370401",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physician's Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer L Eldridge
• Elite Therapy Services
• Philip A Elizondo, M.D.
• Patricia S Elliott, MA LPC
• Roseanne Dishman Ellis, DC
• Amy Jo Emerick, PMHNP
• Blessing Adebusola Emilola
• Daniel Steven Emond, PT
• Empowerme Rehabilitation, LLC
• Clare Engel, PTA

• Urgent Care Clinic/Center in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Urgent Care Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.