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EMERSON JUAN DO NPI 1629274964


NPI Information

NPI: 1629274964
Provider Name: EMERSON JUAN, DO
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
101 E WOOD ST
EMERGENCY CENTER
SPARTANBURG, SC
ZIP 29303
Phone: (864) 560-7025
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Emerson Juan, DO is an emergency medicine in Spartanburg, SC with 20 years of experience. 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. Emerson Juan, DO NPI is 1629274964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduation Year:2004

The provider's business location address is:

101 E WOOD ST
EMERGENCY CENTER
SPARTANBURG, SC
ZIP 29303-040
Phone: (864) 560-7025
Fax: (864) 560-7388

The NPI 1629274964 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)

The enumeration date for this NPI number is 6/25/2007 and was last updated on 1/26/2021.


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
1207P00000XEmergency Medicine1106SOUTH CAROLINAYes
2207P00000XEmergency MedicineTL1106SOUTH CAROLINANo
3207P00000XEmergency Medicine2007-00705NORTH CAROLINANo

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
1AA21748510OTHERSOUTH CAROLINAMEDICARE PIN
220066217OTHERSOUTH CAROLINASELECT HEALTH
3201626OTHERSOUTH CAROLINAMEDCOST
4AA21749068OTHERSOUTH CAROLINAMEDICARE PIN
55907926MEDICAIDNORTH CAROLINA
6011061MEDICAIDSOUTH CAROLINA

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.