Healthcare Provider Details

I. General information

NPI: 1497619951
Provider Name (Legal Business Name): OHIO EMERGENCY MEDICINE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 E STATE ST
SALEM OH
44460-2423
US

IV. Provider business mailing address

5000 AMBASSADOR CAFFERY PKWY BLDG 15
LAFAYETTE LA
70508-6984
US

V. Phone/Fax

Practice location:
  • Phone: 330-332-1551
  • Fax:
Mailing address:
  • Phone: 850-602-0625
  • Fax: 850-602-0625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DAVID KIM
Title or Position: OWNER
Credential:
Phone: 516-252-3939