WILD RIVERS EMERGENCY PHYSICIANS LLC
NPI 1063708394
Emergency Medicine in Gold Beach, OR

Q: What is Wild Rivers Emergency Physicians LLC's NPI number?

The NPI number for Wild Rivers Emergency Physicians LLC is 1063708394. It was assigned to this organization in the NPPES registry on June 24, 2011.

Q: What is Wild Rivers Emergency Physicians LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since June 24, 2011

94220 4TH ST, GOLD BEACH, OR 97444(973) 251-1132(541) 247-3118 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2019, Aug 12, 2019, Jan 22, 2019 (3 updates tracked since 2019).

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About Wild Rivers Emergency Physicians Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILD RIVERS EMERGENCY PHYSICIANS LLC (NPI 1063708394) is a healthcare organization registered as an emergency medicine in Gold Beach, Oregon and active in the NPI registry since June 2011. The organization lists Kathy Kondas, Officer, as its authorized official.

NPPES Registry Identity

NPI1063708394

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameWILD RIVERS EMERGENCY PHYSICIANS LLC

Location Address94220 4TH STGold Beach, OR 97444-7756

Mailing Address13737 Noel Rd, Ste 1600Dallas, TX 75240-1331

Phone(973) 251-1132

Fax(541) 247-3118

Organization SubpartNo

Authorized OfficialKathy KondasOfficer · (973) 251-1132

Enumeration DateJune 24, 2011

Last NPPES UpdateDecember 5, 20193 updates tracked since enumeration

✔ NPI 1063708394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

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.

94220 4TH ST, Gold Beach, OR 97444

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Other Identifiers 3

Other616164500OR · Us Dept Of Labor

OtherDS0356OR · Railroad Medicare

Medicaid500637245OR

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH N MORRIS CRNA

Nurse Anesthetist, Certified Registered