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Organization

EMERGENCY MEDICAL ASSOCIATES, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN CAWOOD MD (MD)
(502) 895-4607
Entity
Organization

Contact information

Practice address
4001 DUTCHMANS LN, LOUISVILLE, KY 40207-4714
(502) 895-4607
(502) 895-4586
Mailing address
29478 NETWORK PL, CHICAGO, IL 60673-1294
(502) 895-4607

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
208000000X
Pediatrics Physician
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
363LF0000X
Family Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000057464
ANTHEM GRP PROVIDER ID#
KY
01
1054502
PASSPORT GROUP PROVIDER #
KY
05
65900722
KY
Enumeration date
02/26/2007
Last updated
07/09/2020
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