CERTIFIED EMERGENCY MEDICINE SPECIALISTS PC NPI 1104985001

NPI Information

NPI: 1104985001
Provider Name: CERTIFIED EMERGENCY MEDICINE SPECIALISTS, PC
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
5900 BYRON CENTER AVE SW
WYOMING, MI
ZIP 49519
Phone: (616) 363-7867
Get Directions

CERTIFIED EMERGENCY MEDICINE SPECIALISTS, PC is an emergency medical services emergency medicine in Wyoming, MI. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. CERTIFIED EMERGENCY MEDICINE SPECIALISTS, PC NPI is 1104985001. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5900 BYRON CENTER AVE SW
WYOMING, MI
ZIP 49519
Phone: (616) 363-7867
Fax: (616) 363-9432

The provider's authorized official is Sonya D Wilson .
The authorized official title is Provider Credentialing and has the following contact phone number (616) 363-7867.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 3/14/2017.

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
1	207PE0004X	Emergency Medicine	Emergency Medical Services		MICHIGAN	Yes

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
1	9300412441	OTHER	MICHIGAN	RAILROAD MEDICARE
2	1002854	OTHER	MICHIGAN	COMMUNITY HEALTH PLANS
3	0D16347	MEDICARE PIN	MICHIGAN

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

NPI Synchronization or Removal

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