Organization
EMERGENCY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES SHUFFLEBARGER MD (EXECUTIVE DIRECTOR)
(317) 962-4836
Entity
Organization
Contact information
Practice address
1701 N SENATE BLVD, METHODIST HOSP ER DEPT, INDIANAPOLIS, IN 46202-1239
(317) 962-4836
(317) 962-8646
Mailing address
250 N SHADELAND AVE, SUITE 200, INDIANAPOLIS, IN 46219-4959
(317) 962-4836
(317) 962-8646
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100235770
—
IN
Enumeration date
04/27/2006
Last updated
04/06/2009
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