Professional Emergency Physicians Inc
LBN: Professional Emergency Physicians Pc
Professional Emergency Physicians Inc is an health care organization with primary practice located at 2200 Randallia Drive , Fort Wayne IN 46805-4638. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty.
Professional Emergency Physicians Pc can be contacted via phone (260) 373-4000, or through Gutwein, Thomas E via phone (260) 482-4440.
Contact Information
Primary practice address
2200 Randallia Drive
Fort Wayne IN 46805-4638
Phone: (260) 373-4000
Fax: (260) 482-4442
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1144215096 |
|---|---|
| LBN Legal business name | Professional Emergency Physicians Pc |
| DBA Doing business as | Professional Emergency Physicians Inc |
| Authorized official | Gutwein, Thomas E Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Jul 22nd, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144215096 | NPPES |
| Ohio | MEDICAID | 0882335 | |
| Ohio | MEDICAID | 100050250C | |
| Ohio | Other | 000000101129 | |
| Ohio | Other | 047840 | |
| Ohio | MEDICAID | 100050250 I | |
| Ohio | MEDICAID | 100050250 J | |
| Ohio | MEDICAID | 100050250D | |
| Ohio | MEDICAID | 100050250A | |
| Ohio | MEDICAID | 100050250F | |
| Ohio | MEDICAID | 100050250 H | |
| Ohio | MEDICAID | 100050250E |
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