EMERGENCY PROFESSIONAL SERVICES, PC
NPI 1104151786
Emergency Medicine in Page, AZ

NPI Status: Active since October 15, 2009

Contact Information

501 N NAVAJO DR
PAGE, AZ
ZIP 86040
Phone: (480) 421-9700
Fax: (480) 421-9899

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  • Organization
  • Emergency Medicine

About EMERGENCY PROFESSIONAL SERVICES, PC

This page provides the complete NPI Profile along with additional information for Emergency Professional Services, Pc, a provider established in Page, Arizona operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1104151786 assigned on October 2009. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kathy Kondas (Officer)

NPI
1104151786
Provider Name
EMERGENCY PROFESSIONAL SERVICES, PC
Entity Type
Organization
Location Address
501 N NAVAJO DR PAGE, AZ 86040
Location Phone
(480) 421-9700
Location Fax
(480) 421-9899
Mailing Address
PO BOX 15070 SCOTTSDALE, AZ 85267
Mailing Phone
(408) 421-9700
Mailing Fax
(480) 421-9899
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-15-2009
Last Update Date
09-24-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHY KONDAS

Authorized Official Title
OFFICER
Authorized Official Phone
(954) 838-2371

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
299839MEDICAID (05)AZ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104151786
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2104252716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 2 + 5 + 2 + 7 + 1 + 6 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1104151786 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003140443DR. BRENNA KATHERINE YURSIK MD, MPH
Individual
Emergency Medicine501 N NAVAJO DR
PAGE, AZ 86040
(602) 839-6968
1730890989 KIMBERLEY HEATWOLE
Individual
Registered Nurse (Registered Nurse First Assistant)501 N NAVAJO DR
PAGE, AZ 86040
(928) 645-0165
1952667420DR. BENJAMIN JOSEPH CLUFF M.D.
Individual
Family Medicine501 N NAVAJO DR
PAGE, AZ 86040
(928) 645-0146
1578515789PAGE HOSPITAL
Organization
General Acute Care Hospital (Critical Access)501 N NAVAJO DR
PAGE, AZ 86040
(928) 645-2424
1477009702MRS. MELISSA LYNN KOLNIK CRNA
Individual
Nurse Anesthetist, Certified Registered501 N NAVAJO DR
PAGE, AZ 86040
(928) 645-2424
1295130961DR. SPENCER ANDERSEN D.O.
Individual
Surgery501 N NAVAJO DR
PAGE, AZ 86040
(801) 885-2489

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104151786, enumerated in the NPI registry as an "organization" on October 15, 2009

The provider is located at 501 N Navajo Dr Page, Az 86040 and the phone number is (480) 421-9700

This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 15, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.