| NPI | 1356379382 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-06-29 |
| Last Updated | 2024-02-08 |
| Authorized Official | Michael Corvini President Phone: 3478841707 |
| Mailing Address | 265 Brookview Centre Way Ste 203 Knoxville, TN 37919-4053 United States Phone: (888) 203-1274 📍 View Map |
| Primary Practice Address | 989 Medical Park Dr Maysville, KY 41056-8750 United States Phone: (606) 759-5311 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | WV | 001740238 | MOUNTAIN STATES BLUE CROSS |
| Other (non-Medicare) | NC | 017E9 | BCBS OF NC |
| MEDICAID | AR | 156473002 | - |
| MEDICAID | AR | 157777002 | - |
| MEDICAID | TN | 3728386 | - |
| MEDICAID | WV | 4005131000 | - |
| MEDICAID | MO | 507198802 | - |
| MEDICAID | AL | 529931890 | - |
| MEDICAID | NC | 5901815 | - |
| MEDICAID | NC | 5902177 | - |
| Other (non-Medicare) | AR | 5C346 | BS AR |
| MEDICAID | KY | 65934218 | - |
| MEDICAID | KY | 65937690 | - |
| MEDICAID | SC | GP3694 | - |
| MEDICAID | SC | GP3965 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207PP0204X – Emergency Medicine, Pediatric Emergency Medicine | - | - |
| No | 2080P0204X – Pediatrics, Pediatric Emergency Medicine | - | - |
| No | 208M00000X – Hospitalist | - | - |
| No | 291U00000X – Clinical Medical Laboratory | WV | - |
| No | 363A00000X – Physician Assistant | - | - |
| No | 363AM0700X – Physician Assistant, Medical | - | - |
| No | 363L00000X – Nurse Practitioner | - | - |
| No | 363LP0200X – Nurse Practitioner, Pediatrics | - | - |
| Yes | 207P00000X – Emergency Medicine | - | - |
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About NPI 1356379382
Southeastern Emergency Physicians Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1356379382. The primary specialty listed is Emergency Medicine. The organization is located in Maysville, KY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-29. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1356379382?
NPI 1356379382 belongs to Southeastern Emergency Physicians Llc, a Emergency Medicine in Maysville, KY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1356379382 active?
The current status of NPI 1356379382 in the NPPES registry is Active. The record was last updated on 2024-02-08.
What specialty is NPI 1356379382?
NPI 1356379382 is classified under the taxonomy Emergency Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1356379382?
You can verify NPI 1356379382 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1356379382?
The primary practice address on file for NPI 1356379382 is 989 Medical Park Dr, Maysville, KY 41056-8750. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1356379382 issued?
NPI 1356379382 was first issued (enumerated) on 2006-06-29. The NPPES record was last updated on 2024-02-08.
Practice Location Map
Southeastern Emergency Physicians Llc is located at 989 Medical Park Dr, Maysville, KY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Southeastern Emergency Physicians Llc. All records sourced from the CMS NPPES registry.