Provider Demographics
NPI:1649410697
Name:VAN METER EMERGENCY PHYSICIANS INC. APMC
Entity Type:Organization
Organization Name:VAN METER EMERGENCY PHYSICIANS INC. APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUSIMANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-366-7638
Mailing Address - Street 1:PO BOX 636343
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6343
Mailing Address - Country:US
Mailing Address - Phone:800-443-3672
Mailing Address - Fax:954-797-4901
Practice Address - Street 1:95 E FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7500
Practice Address - Country:US
Practice Address - Phone:985-867-4000
Practice Address - Fax:985-867-4449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-04
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty