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NPI Code Detail

MEDICARE: UPTOWN EMERGENCY PHYSICIANS, LLP

MEDICARE: UPTOWN EMERGENCY PHYSICIANS, LLP
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
1363A00000XPhysician Assistant
2363L00000XNurse Practitioner
3207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000613976OTHERILBLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811135882
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPTOWN EMERGENCY PHYSICIANS, LLP
Provider Business Mailing Address
First Line : 200 CORPORATE BLVD
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-3870
Country : US
Telephone Number : 800-893-9698
Fax Number :
Provider Business Practice Location Address
First Line : 1103 BELT LINE RD
Second Line :
City : COLLINSVILLE
State : IL
Zip : 62234-4368
Country : US
Telephone Number : 618-344-2273
Fax Number : 618-344-3034
Authorized Official
Title or Position : LLP MANAGING PARTNER
Name : DR. CHRISTOPHER LIPSMEYER
Credential : MD
Telephone Number : 800-893-9698
Provider Enumeration Date : 01/29/2009
Last Update Date : 05/10/2021

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Directions to “UPTOWN EMERGENCY PHYSICIANS, LLP ” Practice Location

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