ER PHYSICIAN GROUP
NPI 1164593109
Emergency Medicine - Emergency Medical Services in Storm Lake, IA

NPI Status: Active since November 13, 2006

Contact Information

1525 W 5TH ST
STORM LAKE, IA
ZIP 50588
Phone: (712) 732-4030
Fax: (712) 213-1233

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  • Organization
  • Emergency Medicine
  • Emergency Medical Services
  • Accepts Insurance

About ER PHYSICIAN GROUP

This page provides the complete NPI Profile along with additional information for Er Physician Group, a provider established in Storm Lake, Iowa operating as a Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1164593109 assigned on November 2006. The practitioner's primary taxonomy code is 207PE0004X with license number 166H (IA). The provider is registered as an organization and their NPI record was last updated 14 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 provider's other name is Er Physician Group. The authorized official of this NPI record is Mrs. Krista L Ketcham (Cfo)

NPI
1164593109
Provider Legal Name
BUENA VISTA REGIONAL MEDICAL CENTER
Other Organization Name
ER PHYSICIAN GROUP
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1525 W 5TH ST STORM LAKE, IA 50588
Location Phone
(712) 732-4030
Location Fax
(712) 213-1233
Mailing Address
1525 W 5TH ST PO BOX 309 STORM LAKE, IA 50588
Mailing Phone
(712) 732-4030
Mailing Fax
(712) 213-1233
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-13-2006
Last Update Date
07-08-2011
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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 Emergency Medical Services

Taxonomy Code
207PE0004X
Type
Allopathic & Osteopathic Physicians
License No.
166H
License State
IA
Taxonomy Description
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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:

  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

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.

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

MRS. KRISTA L KETCHAM

Authorized Official Title
CFO
Authorized Official Phone
(712) 213-8603

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
=========OTHER (01)IATAX ID NUMBER
12089OTHER (01)IAWELLMARK GROUP NUMBER
12089MEDICARE ID-TYPE UNSPECIFIED (04)IAMEDICARE GROUP NUMBER
0097956MEDICAID (05)IN 

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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.
1164593109
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21124109610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 0 + 9 + 6 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1164593109 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134191653BUENA VISTA REGIONAL MEDICAL CENTER
Organization
General Acute Care Hospital (Critical Access)1525 W 5TH ST
STORM LAKE, IA 50588
(712) 732-4030
1316995798BUENA VISTA REGIONAL MEDICAL CENTER
Organization
Psychiatric Unit1525 W 5TH ST
STORM LAKE, IA 50588
(712) 732-4030
1578704870TROY D IVEY DO PLC
Organization
Specialist1525 W 5TH ST
STORM LAKE, IA 50588
(712) 732-5146
1386970465 SARAH JEAN KEANE
Individual
Physical Therapy Assistant1525 W 5TH ST
STORM LAKE, IA 50588
(712) 213-8674
1073822151MS. SHARON ANN ARNDT-NELSON ARNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1525 W 5TH ST
STORM LAKE, IA 50588
(712) 732-4030
1407151210JASON DIERKING, MD PLLC
Organization
Surgery1525 W 5TH ST
STORM LAKE, IA 50588
(712) 732-5146
1750664298MRS. JULIA RAE WHITE OTR/L
Individual
Occupational Therapist1525 W 5TH ST
STORM LAKE, IA 50588
(712) 213-8674
1740540640MR. RUSSELL CHRISCHILLES PTA-BA
Individual
Physical Therapy Assistant1525 W 5TH ST
STORM LAKE, IA 50588
(712) 213-8674
1053754663TRIMARK PHYSICIANS GROUP
Organization
Durable Medical Equipment & Medical Supplies1525 W 5TH ST
STORM LAKE, IA 50588
(712) 732-4030
1417905845BUENA VISTA REGIONAL MEDICAL CENTER
Organization
Medicare Defined Swing Bed Unit1525 W 5TH ST
STORM LAKE, IA 50588
(712) 732-4030
1851709703 JAMIE L GRIEME MNT
Individual
Dietitian, Registered1525 W 5TH ST
STORM LAKE, IA 50588
(712) 732-4030
1346658291 PATRICIA M GROTJOHN MNT
Individual
Dietitian, Registered1525 W 5TH ST
STORM LAKE, IA 50588
(712) 732-4030
1184603201BUENA VISTA ANESTHESIA ASSOCIATES PLC
Organization
Nurse Anesthetist, Certified Registered1525 W 5TH ST
STORM LAKE, IA 50588
(573) 686-5550
1396957395 MONICA L FIRME CRNA
Individual
Nurse Anesthetist, Certified Registered1525 W 5TH ST
STORM LAKE, IA 50588
(712) 732-4455
1306828116 INGRID E FRANZE M.D.
Individual
Radiology (Diagnostic Radiology)1525 W 5TH ST
STORM LAKE, IA 50588
(712) 732-4030
1659711349 GARRETT JAMES FEDDERSEN D.O.
Individual
Family Medicine1525 W 5TH ST
STORM LAKE, IA 50588
(712) 213-8676
1194036525 SETH HARRER MD
Individual
Orthopaedic Surgery1525 W 5TH ST POD C
STORM LAKE, IA 50588
(712) 213-8050
1174991053NORTH CENTRAL IOWA MENTAL HEALTH CENTER INC
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1525 W 5TH ST
STORM LAKE, IA 50588
(800) 482-8305
1114542834 ANGELA CHRISTINE BOLL CRNA
Individual
Nurse Anesthetist, Certified Registered1525 W 5TH ST
STORM LAKE, IA 50588
(573) 686-5550
1760462022BUENA VISTA ANESTHESIA ASSOCIATES PLC
Organization
Nurse Anesthetist, Certified Registered1525 W 5TH ST
STORM LAKE, IA 50588
(712) 732-4030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164593109, enumerated in the NPI registry as an "organization" on November 13, 2006

The provider is located at 1525 W 5th St Storm Lake, Ia 50588 and the phone number is (712) 732-4030

This medical organization specializes in Emergency Medicine with taxonomy code 207PE0004X with a focus in Emergency Medical Services

The provider might be accepting Accepts: Medica, Medicare, Medicaid and Wellmark. 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 November 13, 2006. 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.