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NPI Code Detail

MEDICARE: OHIO EMERGENCY MEDICINE SERVICES

MEDICARE: OHIO EMERGENCY MEDICINE SERVICES
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

General Provider Information

NPI Number : 1497619951
Entity Type Code : Organization
Provider Name (Legal Business Name) : OHIO EMERGENCY MEDICINE SERVICES
Provider Business Mailing Address
First Line : 5000 AMBASSADOR CAFFERY PKWY BLDG 15
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-6984
Country : US
Telephone Number : 850-602-0625
Fax Number : 850-602-0625
Provider Business Practice Location Address
First Line : 1995 E STATE ST
Second Line :
City : SALEM
State : OH
Zip : 44460-2423
Country : US
Telephone Number : 330-332-1551
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAVID KIM
Credential : MD
Telephone Number : 516-252-3939
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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1699721563 — ELEANOR J MCKENZIE CRNA
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Directions to “OHIO EMERGENCY MEDICINE SERVICES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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