Organization
MIDWEST EMERGENCY DEPARTMENT SPECIALISTS LTD
Active
Organization
MIDWEST EMERGENCY DEPARTMENT SPECIALISTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HARVEY M.D. (PRESIDENT)
(217) 788-3156
Entity
Organization
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3156
Mailing address
PO BOX 955277, SAINT LOUIS, MO 63195-5277
(217) 788-4884
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08432052
BLUE CROSS BLUE SHIELD
IL
01
—
CK6793
RAILROAD MEDICARE
IL
Enumeration date
07/09/2006
Last updated
03/07/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up