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MOON LAKE EMERGENCY PHYSICIANS LLC
NPI 1831561455
Emergency Medicine in Phenix City, AL

Active since October 22, 2015
4401 RIVER CHASE DR, PHENIX CITY, AL 36867(469) 401-2386 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moon Lake Emergency Physicians Llc NPPES

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

MOON LAKE EMERGENCY PHYSICIANS LLC (NPI 1831561455) is a healthcare organization registered as an emergency medicine in Phenix City, Alabama and active in the NPI registry since October 2015. The organization lists Kathleen Kondas, Officer, as its authorized official.

NPPES Registry Identity

NPI1831561455
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMOON LAKE EMERGENCY PHYSICIANS LLC
Location Address4401 RIVER CHASE DRPhenix City, AL 36867-7483
Mailing Address13737 Noel Rd, Ste 1600Dallas, TX 75240-1331 · (954) 838-2371
Phone(469) 401-2386
Organization SubpartNo
Authorized OfficialKathleen KondasOfficer · (954) 838-2371
Enumeration DateOctober 22, 2015
Last NPPES UpdateSeptember 10, 2019
✔ NPI 1831561455 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.
4401 RIVER CHASE DR, Phenix City, AL 36867
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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 12

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

RUSSELL COUNTY COMMUNITY HOSPITAL LLC
General Acute Care Hospital
4401 RIVER CHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3000
MR. ANDREW HORNSBY CRNA
Nurse Anesthetist, Certified Registered
4401 RIVER CHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3969
JENIFER D. NOBLES PAAA
Anesthesiologist Assistant
4401 RIVER CHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3000
EMERGENCY STAFFING SOLUTIONS INC
Emergency Medicine
4401 RIVER CHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3000
SUMMIT ANESTHESIA CONSULTING, LLC
Anesthesiology
4401 RIVER CHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3000
JASON WAYNE SMITH RPH
Pharmacist
4401 RIVER CHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3532
SAMUEL THOMAS D.O.
Orthopaedic Surgery
4401 RIVER CHASE DR
PHENIX CITY, AL 36867
Russell County (334) 732-3022
DREXIS, LLC.
Emergency Medicine
4401 RIVER CHASE DR
PHENIX CITY, AL 36867
Russell County (866) 593-3318

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moon Lake Emergency Physicians LLC's NPI number?

The NPI number for Moon Lake Emergency Physicians LLC is 1831561455. It was assigned to this organization in the NPPES registry on October 22, 2015.

Where is Moon Lake Emergency Physicians LLC located?

Moon Lake Emergency Physicians LLC is located at 4401 River Chase Dr, Phenix City, AL 36867. The listed phone number is (469) 401-2386.

What is Moon Lake Emergency Physicians LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Moon Lake Emergency Physicians LLC was last updated on September 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.