Will Spada Creek Emergency Physicians

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

WILL SPADA CREEK EMERGENCY PHYSICIANS

Practice address

1100 E Poplar St
Clarksville, AR 72830-4419

Phone

(479) 754-5454

NPI assigned

Mar 20, 2013

Last updated

Mar 20, 2013By 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

Todd G Zimmerman

Title

President and Ceo of Emcare

Phone

(770) 382-1530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1871835678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18167 US HWY 19N",
            "address_2": "SUITE 650",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337644419",
            "telephone_number": "800-507-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E POPLAR ST",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728304419",
            "telephone_number": "479-754-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILL SPADA CREEK EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT AND CEO OF EMCARE",
        "authorized_official_telephone_number": "770-382-1530"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy West, RECOVERY ASSISTANT
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• Amy Rebecca White, M.S., SLP
• Joshawa White, CMP
• Deedra Wickham, CMP
• Karen Willems-Hawkins, PTA
• Shannon Willems, MSN, APRN, PMHNP-BC
• William B. Maddox PA
• Amanda Williams, CMP
• Delores Ann Williams, LPN

• Emergency Medicine Physician in Clarksville, AR
• Providers in Clarksville, AR by specialty
• Emergency Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.