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NPI Code Detail

MEDICARE: MADISON EMERGENCY PHYSICIANS INC

MEDICARE: MADISON EMERGENCY PHYSICIANS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician1402094OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000316727OTHEROHBC/BS GRP PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720089766
Entity Type Code : Organization
Provider Name (Legal Business Name) : MADISON EMERGENCY PHYSICIANS INC
Provider Business Mailing Address
First Line : 4750 HEMPSTEAD STATION DR
Second Line :
City : KETTERING
State : OH
Zip : 45429-5164
Country : US
Telephone Number : 800-875-0136
Fax Number : 937-619-4150
Provider Business Practice Location Address
First Line : 210 N MAIN ST
Second Line :
City : LONDON
State : OH
Zip : 43140-1115
Country : US
Telephone Number : 740-852-1372
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. WILLIAM A COLE JR.
Credential : MD
Telephone Number : 800-726-3627
Provider Enumeration Date : 08/01/2005
Last Update Date : 08/25/2011

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Directions to “MADISON EMERGENCY PHYSICIANS INC ” Practice Location

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