Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beaver Creek Emergency Group LLC

Organization Emergency Medicine Physician · NPI 1689165904

Beaver Creek Emergency Group LLC is an Emergency Medicine Physician in Martin, Kentucky. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11203 Main St
Martin, KY 41649-7999
Phone: (606) 285-6490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1689165904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisha Falk — Vp Of Contracting · (337) 609-1221
NPI enumeratedMay 22, 2018
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address200 Corporate Blvd, Lafayette, LA 70508-3870

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