JELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC – NPI #1124322847
Emergency Medicine

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.

JELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC is a provider located in JELLICO, TN. NPPES has assigned the NPI number 1124322847 to JELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC on January 10, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 13 years ago on Oct 15, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC below.

NPI Profile for
JELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC

NPI Number
1124322847
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC
Primary location
188 HOSPITAL LN
JELLICO, TN 37762-4400
Phone: (423) 784-7252 Fax:
Mailing address
PO BOX 11769
WESTMINSTER, CA 92685-1769
Phone: (562) 468-0227 Fax:
Organization Subpart
No
Authorized Official
STEVEN MARON
PRESIDENT
Phone: (925) 225-5837
Updated
Identifiers

Identifiers for JELLICO EMERGENCY PHYSICIANS MEDICAL GROUP PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY7100162540
MEDICAIDTN1522627
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.