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JELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC NPI 1124322847


NPI Information

NPI: 1124322847
Provider Name: JELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
188 HOSPITAL LN
JELLICO, TN
ZIP 37762
Phone: (423) 784-7252
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JELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC is an emergency medicine in Jellico, TN. 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. JELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC NPI is 1124322847. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

188 HOSPITAL LN
JELLICO, TN
ZIP 37762-400
Phone: (423) 784-7252

The provider's authorized official is Steven P Maron .
The authorized official title is President and has the following contact phone number (925) 225-5837.

The enumeration date for this NPI number is 1/10/2011 and was last updated on 10/15/2013.


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 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
17100162540MEDICAIDKENTUCKY
2103G707993MEDICARE PINTENNESSEE
31522627MEDICAIDTENNESSEE

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: 11/14/2023

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.