SALEM EMERGENCY PHYSICIANS SERVICE, PC
NPI 1063454395
Emergency Medicine in Salem, OR
- Organization
- Emergency Medicine
- Accepts Insurance
About SALEM EMERGENCY PHYSICIANS SERVICE, PC
This page provides the complete NPI Profile along with additional information for Salem Emergency Physicians Service, Pc, a provider established in Salem, Oregon operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1063454395 assigned on June 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Salem Emergency Physicians Service, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Robert Kelly (Md)
- NPI
- 1063454395 Verify this NPI
- Provider Name
- SALEM EMERGENCY PHYSICIANS SERVICE, PC
- Entity Type
- Organization
- Location Address
- 890 OAK STREET SE BUILDING 'A' SALEM, OR 97301
- Location Phone
- (503) 561-5634
- Location Fax
- (503) 814-1071
- Mailing Address
- PO BOX 742547 LOS ANGELES, CA 90074
- Mailing Phone
- (503) 561-5634
- Mailing Fax
- (503) 814-1071
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-12-2006
- Last Update Date
- 11-05-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8902424 | OTHER (01) | WASHINGTON CRIME VICTIMS | |
| CR0251 | OTHER (01) | RAILROAD MEDICARE | |
| 7028699 | MEDICAID (05) | WA | |
| 015388000 | OTHER (01) | BLUE CROSS & BLUE SHIELD | |
| 042080 | OTHER (01) | WASHINGTON L&I | |
| 115808 | MEDICAID (05) | OR | |
| 168143 | MEDICAID (05) | OR | |
| 68701001 | OTHER (01) | GROUP HEALTH |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063454395, enumerated as an "organization" on June 12, 2006.
The provider is located at 890 OAK STREET SE BUILDING 'A' SALEM, OR 97301 and the phone number is (503) 561-5634.
Emergency Medicine with taxonomy code 207P00000X.
The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare, Medicaid,. Please consult your insurance carrier or call the provider to verify.
