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QUALIFIED EMERGENCY SPECIALISTS INC NPI 1700872728


NPI Information

NPI: 1700872728
Provider Name: QUALIFIED EMERGENCY SPECIALISTS INC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
10500 MONTGOMERY RD
CINCINNATI, OH
ZIP 45242
Phone: (513) 865-1307
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QUALIFIED EMERGENCY SPECIALISTS INC is an emergency medicine in Cincinnati, OH. 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. QUALIFIED EMERGENCY SPECIALISTS INC NPI is 1700872728. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10500 MONTGOMERY RD
CINCINNATI, OH
ZIP 45242-402
Phone: (513) 865-1307

The provider's authorized official is Michael J Bain .
The authorized official title is President and has the following contact phone number (513) 865-9040.

The enumeration date for this NPI number is 9/26/2005 and was last updated on 10/3/2019.


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
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3207P00000XEmergency 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
12400002MEDICAIDOHIO
265930737MEDICAIDKENTUCKY
30850306MEDICAIDOHIO
40866273MEDICAIDOHIO
5100020100BMEDICAIDINDIANA
6100020100CMEDICAIDINDIANA
7100020100DMEDICAIDINDIANA
8100020100HMEDICAIDINDIANA
9100020100EMEDICAIDINDIANA
102400020MEDICAIDOHIO
11100020100FMEDICAIDINDIANA
12100020100IMEDICAIDINDIANA
132049545MEDICAIDOHIO
140765391MEDICAIDOHIO
150809807MEDICAIDOHIO
16100020100AMEDICAIDINDIANA

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

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