| Radar Ems, LLC | |
|
2670 Union Avenue Ext Ste 915 Memphis TN 38112-4435 | |
| (901) 352-0062 | |
| Not Available |
| Full Name | Radar Ems, LLC |
|---|---|
| Speciality | Emergency Medicine |
| Location | 2670 Union Avenue Ext Ste 915, Memphis, Tennessee |
| Authorized Official Name and Position | Donald Steven Euler (CO-OWNER) |
| Authorized Official Contact | 4234137130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Radar Ems, LLC 564 E Gage Ave Memphis TN 38106-7510 | Radar Ems, LLC 2670 Union Avenue Ext Ste 915 Memphis TN 38112-4435 Ph: (901) 352-0062 |
| NPI Number | 1093375420 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 12/20/2023 |
| Certification Date | 12/20/2023 |
| Medicare PECOS PAC ID | 8729318977 |
|---|---|
| Medicare Enrollment ID | O20191001002166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093375420 | NPI | - | NPPES |
| Provider Name | Richard N Donlon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285682849 PECOS PAC ID: 0648252478 Enrollment ID: I20040604000112 |
| Provider Name | Abbas Mirza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033149232 PECOS PAC ID: 8123088226 Enrollment ID: I20041013000807 |
| Provider Name | Robert Booth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548377518 PECOS PAC ID: 9436182821 Enrollment ID: I20070725000621 |
| Provider Name | Thomas Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912172305 PECOS PAC ID: 7810067139 Enrollment ID: I20080529000414 |
| Provider Name | Donald Steven Euler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730262114 PECOS PAC ID: 6002093507 Enrollment ID: I20130603000502 |
| Provider Name | Mary K Erkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417376179 PECOS PAC ID: 4082833272 Enrollment ID: I20140922000592 |
| Provider Name | Richard L Randolph |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982076246 PECOS PAC ID: 1355651613 Enrollment ID: I20151117001723 |
| Provider Name | Sarah E Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710347026 PECOS PAC ID: 8820394216 Enrollment ID: I20160310001913 |
| Provider Name | Jeremiah Tyson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336382548 PECOS PAC ID: 0345403028 Enrollment ID: I20170103000668 |
| Provider Name | Rochelle Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487092888 PECOS PAC ID: 8022302157 Enrollment ID: I20170405000347 |
| Provider Name | Charity Eskew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689111718 PECOS PAC ID: 1153608500 Enrollment ID: I20170511002926 |
| Provider Name | Deanna N Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427375716 PECOS PAC ID: 9537283155 Enrollment ID: I20180925003153 |
| Provider Name | Vance Leland Plumhoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265922959 PECOS PAC ID: 9335493477 Enrollment ID: I20181108001878 |
| Provider Name | Darrin Vicory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538816806 PECOS PAC ID: 9537541198 Enrollment ID: I20220729001810 |
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