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PROFESSIONAL EMERGENCY PHYSICIAN SERVICES LLC NPI 1477554129


NPI Information

NPI: 1477554129
Provider Name: PROFESSIONAL EMERGENCY PHYSICIAN SERVICES, LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
251 N FOURTH ST
OAKLAND, MD
ZIP 21550
Phone: (301) 533-4201
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PROFESSIONAL EMERGENCY PHYSICIAN SERVICES, LLC is an emergency medicine in Oakland, MD. 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. PROFESSIONAL EMERGENCY PHYSICIAN SERVICES, LLC NPI is 1477554129. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

251 N FOURTH ST
OAKLAND, MD
ZIP 21550-375
Phone: (301) 533-4201
Fax: (301) 533-4208

The provider's authorized official is Tracy Dawn Lipscomb .
The authorized official title is Vip Finance/cfo and has the following contact phone number (301) 533-4201.

The enumeration date for this NPI number is 8/3/2005 and was last updated on 1/3/2024.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineMARYLANDYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1777AOTHERBLUE CROSS CONSOL
2777AOTHERB/C GENERAL MOTORS
3MA6OTHERB/C FEDERAL
4777AOTHERB/C MD
5J748OTHERBLUE CROSS EMPIRE
6407145000MEDICAIDMARYLAND
7777AOTHERB/C MT STATE
8777AOTHERCAREFIRST B/C
9777AOTHERBLUE CROSS

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: 5/5/2024

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.