Active NPI
Emcare Physician Providers, Inc.
- Emergency Medicine Physician
- Lafayette, TN
National Provider Identifier
1902858137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- EMCARE PHYSICIAN PROVIDERS, INC.
- Practice address
- 204 Medical Dr
Lafayette, TN 37083-1719 - Phone
- (615) 666-2147
- Fax
- (800) 305-3233
- NPI assigned
- May 16, 2006
- Last updated
- Dec 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph W Taylor
- Title
- Evp, Emcare Physician Providers Inc
- Phone
- (800) 444-7009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
204 Medical Dr
Lafayette, TN 37083-1719
Mailing address
815 S Palafox St
Ste 300
Pensacola, FL 32502-5937
Phone (800) 444-7009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3726454 | Medicaid | TN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 93
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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Emergency Medicine
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Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292284800000",
"number": "1902858137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 S PALAFOX ST",
"address_2": "STE 300",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325025937",
"telephone_number": "800-444-7009",
"fax_number": "800-305-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 MEDICAL DR",
"city": "LAFAYETTE",
"state": "TN",
"postal_code": "370831719",
"telephone_number": "615-666-2147",
"fax_number": "800-305-3233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMCARE PHYSICIAN PROVIDERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-16",
"last_updated": "2010-12-14",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "EVP, EMCARE PHYSICIAN PROVIDERS INC",
"authorized_official_telephone_number": "800-444-7009",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3726454",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.