Emergency Medicine of Indiana LLC
Organization Active NPI Emergency Medicine Physician · Fort Wayne, IN
NPI 1881969418 · NPPES record last updated Mar 8, 2016
Key facts
- NPI
- 1881969418
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- EMERGENCY MEDICINE OF INDIANA LLC
- Practice address
- 7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140 - Phone
- (260) 203-9600
- Fax
- (260) 435-7933
- NPI assigned
- Mar 15, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Troy Clouse, M.D.
- Title
- President
- Phone
- (260) 203-9600
Practitioners 63
-
Kelly S. Barlow, NP
-
Patricia Louise Benedict, MSN,FNP
-
Kelly Sue Bressler, NP-C, DNP
-
Rositsa I Byers, M.D.
-
Robin E. Cartwright, PA-C
-
Tori Dawn Clabaugh, FNP
-
Preeti Nanak Dembla, M.D.
-
Swati Desai, PA-C
-
Jennifer Drancik, MD
-
Jenifer Kay Fortney, PA-C
-
Jeffrey A Giese, DO
-
Mark Giese, DO
-
Megan E. Goetz, NP
-
Desire D. Green, NP
-
David Hall, MD
-
Beve P House III, MD
-
Eamonn M Keane, MD
-
Shaheed Koury, MD
-
Elizabeth Marie Lauber, M.D.
-
Aaron Lehman, NP-C
National Provider Directory
Locations
10343 Dawsons Creek Blvd
Ste A
Fort Wayne, IN 46825
Phone (260) 206-9600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Mailing address
10343 Dawsons Creek Blvd
Suite a
Fort Wayne, IN 46825-1906
Phone (260) 203-9600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100082180A | Medicaid | IN |
Other providers in Fort Wayne, IN
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- Andrea K Emenhiser
- Danielle J Emenhiser
- Emergency Medicine of Indiana
- Emergency Professionals of Indiana, P.C.
- Abby J Emerick
- Ayriel Emerick
- Emeritus Properties NGH, LLC
- Ashley Emerson
All providers in Fort Wayne, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.