JACKSON PURCHASE ER PHYSICIANS, PSC - NPI 1093701823 - Emergency Medicine in Paducah, KY

Q: What is Jackson Purchase ER Physicians, Psc's NPI number?

The NPI number for Jackson Purchase ER Physicians, Psc is 1093701823. It was assigned to this organization in the NPPES registry on September 27, 2005.

Q: What is Jackson Purchase ER Physicians, Psc's specialty?

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

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About Jackson Purchase Er Physicians, Psc NPPES

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

JACKSON PURCHASE ER PHYSICIANS, PSC (NPI 1093701823) is a healthcare organization registered as an emergency medicine in Paducah, Kentucky and active in the NPI registry since September 2005. The organization lists Brian W Vanderboegh, President, as its authorized official.

NPPES Registry Identity

NPI1093701823

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameJACKSON PURCHASE ER PHYSICIANS, PSC

Location Address1530 LONE OAK RDPaducah, KY 42003-7901

Mailing AddressPo Box 78Evansville, IN 47701-0078 · (800) 467-2394 · Fax (270) 444-6252

Phone(270) 444-0878

Fax(270) 444-6252

Organization SubpartNo

Authorized OfficialBrian W VanderboeghPresident · (270) 444-0878

Enumeration DateSeptember 27, 2005

Last NPPES UpdateJune 30, 2008

✔ NPI 1093701823 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.

1530 LONE OAK RD, Paducah, KY 42003

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Other Identifiers 2

Medicare ID-Type Unspecified00921KY

Medicaid65911323KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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.

DR. ADAM DULEY MD

Emergency Medicine