Healthcare Provider Details

I. General information

NPI: 1932155272
Provider Name (Legal Business Name): PATIENT'S FIRST EMERGENCY MEDICINE CONSULTANTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13318 CHASE ST
CROWN POINT IN
46307-9763
US

IV. Provider business mailing address

PO BOX 869359
PLANO TX
75086-9359
US

V. Phone/Fax

Practice location:
  • Phone: 219-836-7050
  • Fax:
Mailing address:
  • Phone: 972-758-3598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number71002085A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL J MACUGA
Title or Position: PRESIDENT
Credential: MD
Phone: 219-836-7049