DR. MD Mathew Glen Krista, NPI 1093779738
Emergency Medicine Physician in Dothan, AL, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1093779738 |
| NPI Entity Type | Individual |
| Provider Name | DR. MD Mathew Glen Krista |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 4126 West Main Street, Dothan, AL, US |
| Provider Mailing Address | Po Box 6599, Dothan, AL, US, 363026599 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Emergency Medicine Physician |
| Classification | |
| Group | |
| License No. | 21833 |
| License State | AL |
| Description | An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 32247 | KY | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 000799664B | GA | MEDICAID | 05 |
| 1756539 | LA | MEDICAID | 05 |
| 51515842 | AL | BC BS OF AL | 01 |
| 06009894 | MS | MEDICAID | 05 |
| P00055578 | RAILROAD MEDICARE | 01 | |
| 051515842 | AL | MEDICAID | 05 |
| 255415100 | FL | MEDICAID | 05 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | No | 4126 West Main Street, Dothan, AL, US | |||
| DIRECT | [email protected] | HIE | CSV | No | 4126 West Main Street, Dothan, AL, US |
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