James W Gladish II, DO
Individual provider Active NPI Emergency Medicine Physician · Evansville, IN
NPI 1982921912 · NPPES record last updated Jan 9, 2017
Key facts
- NPI
- 1982921912
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 036-124448 (IL)
- Practice address
- 3700 Washington Ave
Evansville, IN 47714-0541 - Phone
- (618) 549-0721
- Fax
- (618) 529-3164
- NPI assigned
- Apr 30, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Kansas City University of Physicians and Surgeons, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Daviess County Hospital
Practice addresses (Care Compare)
1314 E Walnut St
DCH ER Physicians Group
Washington, IN 47501-2860
Phone (812) 254-2760
Hospital & facility affiliations
- Daviess Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170217000226 | IN | Practitioner - Emergency Medicine | 2163616426 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-124448 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daviess County Hospital | Current | Accepting new patients | |
| Daviess County Hospital | Current |
Accepting new patients | |
| Daviess County Hospital | Current |
Accepting new patients | |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Current |
Accepting new patients |
Locations
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250
1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 036-124448 | IL | Yes |
| Family Medicine Physician | 207Q00000X | 036-124448 | IL | |
| Family Medicine Physician | 207Q00000X | 02003393A | IN |
Addresses
Primary practice location
3700 Washington Ave
Evansville, IN 47714-0541
Mailing address
3700 Washington Ave
Evansville, IN 47714-0541
Phone (866) 916-5259
Other providers in Evansville, IN
- George F Girod
- Aisha Givens
- Jennifer Nicole Givens
- Stephanye Renee Givens
- GJH Home Care LLC
- Brock Glaser
- Sheila Glass
- Eric L Glines
- Sharayah Lynn Glisson
- Lisa R Goans
All providers in Evansville, 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 Jan 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.