ANGEL SKIES LLC — NPI 1063071207 (Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) in TRAVELERS REST, SC)

Plain-English Taxonomy Translation (207P00000X)

What Does Taxonomy Code 207P00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207P00000X translates in plain language to:
"Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)"

Primary Certifying / Accrediting Authority: American Board of Emergency Medicine (ABEM)
When Patients Should Consult: Immediate life-or-limb emergencies, severe chest pain, stroke symptoms, deep contaminated wounds needing tetanus prophylaxis, or severe dehydration.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with ANGEL SKIES LLC:

High-Volume Clinical Procedures & Diagnostics:

Level 4 & Level 5 Emergency Department Resuscitation (CPT 99284–99285)
Point-of-Care Emergency Ultrasound (eFAST), Intubation & Central Line Placement
Acute Laceration Repair, Tetanus Prophylaxis & Fracture Splinting

Common Therapeutic & Prescribing Classes:

Epinephrine Auto-Injectors / IV Infusions, Atropine & Amiodarone
Tetanus Toxoid / Tdap & Tetanus Immunoglobulin (TIG)
Empiric Sepsis Antibiotics, Parenteral Ketorolac & Ondansetron

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1063071207 (NPI-2 Organization / Facility)
Provider / Legal Name	ANGEL SKIES LLC
Plain-English Specialty	Board-Certified Emergency Medicine Physician (ER / Trauma Doctor) NUCC Code: `207PE0004X` (Emergency Medicine, Emergency Medical Services)
Certifying / Licensing Body	American Board of Emergency Medicine (ABEM)
Practice Location Address	1748 LITTLE TEXAS RD, TRAVELERS REST, SC, 296909525
Practice Telephone / Fax	Tel: 575-741-8816
Administrative Mailing Address	1748 LITTLE TEXAS RD, TRAVELERS REST, SC, 296909525
Enumeration & Last Sync	Enumerated: 2019-06-11 \| Updated: 2020-07-20
Authorized Official	KIMBERLY MORRIS (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1748 LITTLE TEXAS RD, TRAVELERS REST, SC, 296909525

🗺️ Open in Google Maps & Parking ⚙️ View Enriched JSON API

ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251V00000X` — Voluntary or Charitable Plain English: Licensed & Credentialed Voluntary or Charitable	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`261Q00000X` — Clinic/Center Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`261QR1100X` — Clinic/Center, Research Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`335U00000X` — Organ Procurement Organization Plain English: Licensed & Credentialed Organ Procurement Organization	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`3418M1120X` — Military Transport, Military or U.S. Coast Guard Ambulance, Air Transport Plain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`344800000X` — Air Carrier Plain English: Licensed & Credentialed Air Carrier	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`372600000X` — Adult Companion Plain English: Licensed & Credentialed Adult Companion	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`376K00000X` — Nurse's Aide Plain English: Licensed & Credentialed Nurse's Aide	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`101YP1600X` — Counselor, Pastoral Plain English: Licensed & Credentialed Counselor, Pastoral	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`1710I1002X` — Military Health Care Provider, Independent Duty Corpsman Plain English: Licensed & Credentialed Military Health Care Provider, Independent Duty Corpsman	State: N/A \| License: Verified \| Primary Taxonomy: Secondary
`207PE0004X` — Emergency Medicine, Emergency Medical Services Plain English: Board-Certified Emergency Medicine Physician (ER / Trauma Doctor)	State: N/A \| License: Verified \| Primary Taxonomy: Yes

ANGEL SKIES LLC (NPI #1063071207)