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PROFESSIONAL EMERGENCY CARE P.C. NPI 1578568036


NPI Information

NPI: 1578568036
Provider Name: PROFESSIONAL EMERGENCY CARE, P.C.
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
18101 OAKWOOD BLVD
EMERGENCY MEDICINE DEPARTMENT
DEARBORN, MI
ZIP 48124
Phone: (313) 593-8780
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PROFESSIONAL EMERGENCY CARE, P.C. is an emergency medicine in Dearborn, MI. 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 CARE, P.C. NPI is 1578568036. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18101 OAKWOOD BLVD
EMERGENCY MEDICINE DEPARTMENT
DEARBORN, MI
ZIP 48124-089
Phone: (313) 593-8780
Fax: (888) 861-8740

The provider's authorized official is John Bauer .
The authorized official title is Cmo and has the following contact phone number (734) 632-0175.

The enumeration date for this NPI number is 6/20/2005 and was last updated on 7/15/2014.


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
1207RC0200XInternal MedicineCritical Care MedicineMICHIGANNo
2208000000XPediatricsMICHIGANNo
3363A00000XPhysician AssistantMICHIGANNo
4363L00000XNurse PractitionerMICHIGANNo
5207P00000XEmergency MedicineMICHIGANYes

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
1CC0535OTHERMICHIGANRAILROAD MEDICARE
2700D410740OTHERBCBS
31578568036MEDICAIDMICHIGAN
4010Q262940OTHERMICHIGANBCBSMI
5700E014610OTHERBCBS

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.