MOON LAKE EMERGENCY PHYSICIANS LLC NPI 1831561455

Emergency Medicine in Phenix City, AL

NPI 1831561455 Organization Emergency Medicine

About MOON LAKE EMERGENCY PHYSICIANS LLC

Moon Lake Emergency Physicians Llc is a provider established in Phenix City, Alabama specializing in emergency medicine. The NPI number of Moon Lake Emergency Physicians Llc is 1831561455 and was assigned on October 2015. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Moon Lake Emergency Physicians Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kathleen Kondas (Officer)

NPI

1831561455

Provider NameMOON LAKE EMERGENCY PHYSICIANS LLC
Provider Location Address4401 RIVER CHASE DR PHENIX CITY, AL 36867
Provider Mailing Address13737 NOEL RD STE 1600 DALLAS, TX 75240
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-22-2015
Last Update Date09-10-2019


Primary Taxonomy

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionAn 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.

Business Address

MOON LAKE EMERGENCY PHYSICIANS LLC
4401 RIVER CHASE DR
PHENIX CITY, AL
ZIP 36867
Phone: (469) 401-2386

Get Directions


Mailing Address

MOON LAKE EMERGENCY PHYSICIANS LLC
13737 NOEL RD
STE 1600
DALLAS, TX
ZIP 75240
Phone: (954) 838-2371



Authorized Official

Authorized Official Name KATHLEEN KONDAS
Authorized Official TitleOFFICER
Authorized Official Phone(954) 838-2371

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.

Other Providers at the same location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336133271 TANYA L DUNCAN-WILLIAMS AA-C
Individual
Anesthesiologist Assistant4401 RIVER CHASE DR
PHENIX CITY, AL 36867
(334) 732-3000
1154318285 JENIFER D. NOBLES PAAA
Individual
Anesthesiologist Assistant4401 RIVER CHASE DR
PHENIX CITY, AL 36867
(334) 732-3000
1023050101RUSSELL COUNTY COMMUNITY HOSPITAL LLC
Organization
General Acute Care Hospital4401 RIVER CHASE DR
PHENIX CITY, AL 36867
(334) 732-3000
1871510644DR. MILES WAYNE ELLIS MD
Individual
Family Medicine4401 RIVER CHASE DR EMERGENCY DEPT.
PHENIX CITY, AL 36867
(334) 732-3000
1679768311RUSSELL COUNTY COMMUNITY HOSPITAL, LLC
Organization
Emergency Medicine (Emergency Medical Services)4401 RIVER CHASE DR
PHENIX CITY, AL 36867
(334) 732-3000
1639330632DREXIS, LLC.
Organization
Emergency Medicine4401 RIVER CHASE DR
PHENIX CITY, AL 36867
(866) 593-3318
1982998050ANESTHESIA CARE OF ALABAMA PC
Organization
Anesthesiology4401 RIVER CHASE DR
PHENIX CITY, AL 36867
(334) 732-3010
1417220666 JASON WAYNE SMITH RPH
Individual
Pharmacist4401 RIVER CHASE DR
PHENIX CITY, AL 36867
(334) 732-3532
1245575471EMERGENCY STAFFING SOLUTIONS INC
Organization
Emergency Medicine4401 RIVER CHASE DR
PHENIX CITY, AL 36867
(334) 732-3000
1063863082MR. ANDREW HORNSBY CRNA
Individual
Nurse Anesthetist, Certified Registered4401 RIVER CHASE DR
PHENIX CITY, AL 36867
(334) 732-3969
1003260985DR. CHRISTOPHER DANIEL MUNCIE D.O.
Individual
Orthopaedic Surgery4401 RIVER CHASE DR
PHENIX CITY, AL 36867
(334) 732-3653
1528625712DR. BENJAMIN CATOE DO
Individual
Student in an Organized Health Care Education/Training Program4401 RIVER CHASE DR
PHENIX CITY, AL 36867
(334) 732-3000
1538588769 SAMUEL THOMAS D.O.
Individual
Orthopaedic Surgery4401 RIVER CHASE DR
PHENIX CITY, AL 36867
(334) 732-3022
1275649055SUMMIT ANESTHESIA CONSULTING, LLC
Organization
Anesthesiology4401 RIVER CHASE DR
PHENIX CITY, AL 36867
(334) 732-3000
1831763283 THOMAS BRENT ANDERSON DO
Individual
Student in an Organized Health Care Education/Training Program4401 RIVER CHASE DR
PHENIX CITY, AL 36867
(334) 732-3080

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.