Cep America LLC
Organization Active NPI Emergency Medicine Physician · Clinton, IN
NPI 1992274385 · NPPES record last updated Apr 1, 2020
Key facts
- NPI
- 1992274385
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- CEP AMERICA LLC
- Practice address
- 801 S Main St
Clinton, IN 47842-2261 - Phone
- (765) 832-1234
- NPI assigned
- Nov 15, 2018
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, MD
- Title
- Coo
- Phone
- (510) 350-2600
Other NPIs on the same Medicare enrollment 15
Practitioners 20
-
Stephen Wayne Bell, PHYSICIAN ASSISTANT
-
Susan Catherine Crampton, PA-C
-
Vanessa Culver, PA-C
-
Jennifer Elaine Davis, PA-C
-
Jeanie Mae Kent, FNP-C
-
Caitlyn Patrice Oliver, PA-C
-
Jamie Peters, PA
-
Lauren Christine Silva, PA-C
-
Adam Farrell, PA-C
-
Stefan Jung, MD
-
Marzena Kaczmarczyk, P.A.
-
Anthony Oraha, M.D.
-
Nicholas Rowe, MD
-
Priyanka Scuorzo, DO
-
Tara Trent, PA-C
-
Dustyn Whitesel, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190214000611 | IN | Part B Supplier - Clinic/Group Practice | 6608056171 |
Receives reassigned benefits from 729 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Plymouth, IN; Indianapolis, IN; Kokomo, IN; Madison, IN; Merrillville, IN; Mishawaka, IN; Munster, IN; New Castle, IN… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
801 S Main St
Clinton, IN 47842-2261
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2680
Other providers in Clinton, IN
- Christi L Busenbark
- Kent Alan Cammack
- Caring Hands Home, LLC
- Miranda Sue Cassity
- Cep America - Neurology PC
- Kaliah Cesinger
- Charles H. Rutan, O.D.
- Tyler Chew
- Gurreet Chhokar
- Child-Adult Resourse Services, Inc.
All providers in Clinton, 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 Apr 1, 2020. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.