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SOUTHEASTERN EMERGENCY PHYSICIANS LLC NPI 1356379382


NPI Information

NPI: 1356379382
Provider Name: SOUTHEASTERN EMERGENCY PHYSICIANS LLC

Other Name: SEP

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
989 MEDICAL PARK DR
MAYSVILLE, KY
ZIP 41056
Phone: (606) 759-5311
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SOUTHEASTERN EMERGENCY PHYSICIANS LLC is an emergency medicine in Maysville, KY. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. SOUTHEASTERN EMERGENCY PHYSICIANS LLC NPI is 1356379382. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sep.

The provider's business location address is:

989 MEDICAL PARK DR
MAYSVILLE, KY
ZIP 41056-750
Phone: (606) 759-5311

The provider's authorized official is Michael D Corvini .
The authorized official title is President and has the following contact phone number (347) 884-1707.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 2/8/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PP0204XEmergency MedicinePediatric Emergency MedicineNo
22080P0204XPediatricsPediatric Emergency MedicineNo
3208M00000XHospitalistNo
4291U00000XClinical Medical LaboratoryWEST VIRGINIANo
5363A00000XPhysician AssistantNo
6363AM0700XPhysician AssistantMedicalNo
7363L00000XNurse PractitionerNo
8363LP0200XNurse PractitionerPediatricsNo
9207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001740238OTHERWEST VIRGINIAMOUNTAIN STATES BLUE CROSS
25C346OTHERARKANSASBS AR
33728386MEDICAIDTENNESSEE
4507198802MEDICAIDMISSOURI
55901815MEDICAIDNORTH CAROLINA
6GP3694MEDICAIDSOUTH CAROLINA
7157777002MEDICAIDARKANSAS
865934218MEDICAIDKENTUCKY
94005131000MEDICAIDWEST VIRGINIA
10529931890MEDICAIDALABAMA
11GP3965MEDICAIDSOUTH CAROLINA
12156473002MEDICAIDARKANSAS
135902177MEDICAIDNORTH CAROLINA
1465937690MEDICAIDKENTUCKY
15017E9OTHERNORTH CAROLINABCBS OF NC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.