Active NPI 1093979692 Individual Practitioner Male Practitioner

Dr. Jeremie Michael Axe , MD

Orthopaedic Surgery • Newark, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jeremie Axe, MD is a certified Orthopaedic Surgery practicing in Newark, DE. With approximately 18 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 2008, Dr. Axe delivers high-quality medical care to the local community at 4745 OGLETOWN STANTON RD STE 225.

Dr. Axe maintains professional affiliations with First State Orthopaedics Pa, Agape Physical Therapy And Sports Rehabilitation Lp and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg, hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4745 Ogletown Stanton Rd Ste 225

Newark, DE 197131387

Telephone 3027312888

Fax 3027317049

Associated Practice Facility / Clinic

🏢 First State Orthopaedics, Pa Facility NPI 1346220266

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Newark, DE

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -0.2 yrs vs City Avg

City Avg: 18.2 Yrs

State Avg: 20.4 Yrs

Regional Practice Density

16 Specialists

Practicing in Newark, DE (81 Statewide)

Telehealth Adoption Rate

6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Axe (18 Years) 18 Yrs

Newark Specialty Average (18.2 Years) 18.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	8,065	107	$46.88	$17.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	6,280	652	$8.09	$0.98
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	2,526	21	$19.20	$7.14
20610 Aspiration and/or injection of fluid from large joint	1,356	672	$302.99	$71.44
99213 Established patient office or other outpatient visit, typically 15 minutes	1,049	697	$136.00	$87.13
73030 X-ray of shoulder, minimum of 2 views	886	506	$173.80	$33.34
20550 Injection into tendon or ligament	713	451	$269.89	$31.80
73562 X-ray of knee, 3 views	264	170	$192.45	$39.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	164	$173.00	$122.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$184.00	$105.96
23395 Relocation of one muscle of shoulder or upper arm	99	98	$4870.00	$690.64
23472 Prosthetic repair of shoulder joint, total shoulder	93	91	$6100.00	$1364.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$265.00	$157.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	60	$210.00	$172.97
20605 Aspiration and/or injection of medium joint or joint capsule	31	22	$237.10	$49.32
73560 X-ray of knee, 1-2 views	28	22	$135.00	$32.68
73070 X-ray of elbow, 2 views	21	18	$133.00	$28.17
27447 Replacement of knee joint, both sides of knee	20	20	$9408.00	$1230.03
64910 Repair of nerve with graft	17	17	$3599.00	$378.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	10,240	132	$46.88	$16.74
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,915	624	$25.01	$1.07
20610 Aspiration and/or injection of fluid from large joint	1,227	626	$300.84	$73.44
99213 Established patient office or other outpatient visit, typically 15 minutes	1,089	695	$136.00	$89.94
73030 X-ray of shoulder, minimum of 2 views	805	462	$174.43	$35.24
20550 Injection into tendon or ligament	518	365	$244.73	$32.25
73562 X-ray of knee, 3 views	257	169	$191.00	$41.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	193	193	$184.00	$111.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	119	117	$210.00	$179.18
23395 Relocation of one muscle of shoulder or upper arm	87	85	$4825.22	$673.77
23472 Prosthetic repair of shoulder joint, total shoulder	85	82	$6042.59	$1428.60
73560 X-ray of knee, 1-2 views	46	34	$135.00	$34.80
27447 Replacement of knee joint, both sides of knee	31	30	$9408.00	$1288.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$173.00	$127.91
20605 Aspiration and/or injection of medium joint or joint capsule	25	19	$210.00	$45.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$293.00	$129.75
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	17	12	$1850.00	$694.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$96.00	$56.78
73080 X-ray of elbow, minimum of 3 views	14	12	$179.00	$33.14
73070 X-ray of elbow, 2 views	14	13	$133.00	$29.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	8,418	130	$46.88	$17.07
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,757	588	$25.01	$1.14
20610 Aspiration and/or injection of fluid from large joint	1,527	590	$287.57	$66.53
99213 Established patient office or other outpatient visit, typically 15 minutes	916	634	$136.00	$92.86
73030 X-ray of shoulder, minimum of 2 views	684	400	$173.75	$36.29
73562 X-ray of knee, 3 views	210	146	$189.18	$43.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	169	169	$184.00	$115.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	122	$173.00	$129.60
23395 Relocation of one muscle of shoulder or upper arm	83	82	$4870.00	$703.52
23472 Prosthetic repair of shoulder joint, total shoulder	77	77	$6100.00	$1492.21
73560 X-ray of knee, 1-2 views	36	25	$135.00	$35.97
20605 Aspiration and/or injection of medium joint or joint capsule	26	21	$210.00	$44.03
20550 Injection into tendon or ligament	25	22	$237.12	$38.00
27447 Replacement of knee joint, both sides of knee	20	20	$9408.00	$1324.70
73070 X-ray of elbow, 2 views	19	15	$133.00	$30.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$210.00	$184.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$293.00	$136.20
29823 Removal of extensive shoulder joint tissue using an endoscope	13	12	$5071.38	$245.97
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	12	11	$1268.92	$164.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$265.00	$171.11
24535 Closed treatment of upper arm bone broken at elbow with manipulation	11	11	$1766.00	$650.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	5,984	103	$46.88	$17.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,233	538	$25.05	$1.26
20610 Aspiration and/or injection of fluid from large joint	1,059	517	$283.55	$69.46
99213 Established patient office or other outpatient visit, typically 15 minutes	845	586	$136.00	$93.54
73030 X-ray of shoulder, minimum of 2 views	714	405	$174.73	$35.85
73562 X-ray of knee, 3 views	223	140	$190.14	$42.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	176	176	$184.00	$115.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	119	$173.00	$133.46
23395 Relocation of one muscle of shoulder or upper arm	78	78	$4820.05	$717.33
23472 Prosthetic repair of shoulder joint, total shoulder	73	73	$6100.00	$1486.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	34	$96.00	$57.95
73560 X-ray of knee, 1-2 views	31	24	$130.65	$35.76
20605 Aspiration and/or injection of medium joint or joint capsule	25	18	$226.80	$50.41
29823 Removal of extensive shoulder joint tissue using an endoscope	24	24	$5404.00	$219.11
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	22	22	$1300.00	$179.83
23195 Removal of shoulder blade	19	18	$3467.53	$412.24
29827 Repair of shoulder rotator cuff using an endoscope	18	18	$5040.00	$1094.72
27447 Replacement of knee joint, both sides of knee	17	17	$9408.00	$1335.22
73070 X-ray of elbow, 2 views	16	14	$133.00	$30.36
29828 Release of shoulder biceps tendon using an endoscope	13	13	$4951.00	$463.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$265.00	$172.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$293.00	$137.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	2,720	53	$46.88	$18.41
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	879	420	$25.14	$1.45
20610 Aspiration and/or injection of fluid from large joint	786	417	$281.66	$70.84
99213 Established patient office or other outpatient visit, typically 15 minutes	782	491	$136.00	$77.57
73030 X-ray of shoulder, minimum of 2 views	592	315	$174.00	$34.38
73562 X-ray of knee, 3 views	143	99	$188.33	$40.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$184.00	$110.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	94	$173.00	$111.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	84	$96.00	$47.17
23395 Relocation of one muscle of shoulder or upper arm	66	63	$4870.00	$725.03
23472 Prosthetic repair of shoulder joint, total shoulder	63	61	$6100.00	$1521.47
20902 Harvest of graft from large bone	37	36	$2955.00	$154.32
73070 X-ray of elbow, 2 views	26	17	$138.12	$29.49
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	24	14	$1400.00	$1165.22
73560 X-ray of knee, 1-2 views	23	17	$135.00	$34.71
29823 Removal of extensive shoulder joint tissue using an endoscope	23	23	$5404.00	$319.88
20605 Aspiration and/or injection of medium joint or joint capsule	21	16	$220.00	$50.91
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	20	20	$2468.65	$185.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$265.00	$170.86
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$5040.00	$1133.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	752	501	$136.00	$75.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	722	388	$25.43	$1.58
20610 Aspiration and/or injection of fluid from large joint	687	386	$285.08	$68.99
73030 X-ray of shoulder, minimum of 2 views	652	334	$174.00	$30.96
73562 X-ray of knee, 3 views	166	113	$189.52	$38.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$184.00	$110.41
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	102	66	$1850.00	$1260.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	82	$173.00	$110.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	77	$96.00	$46.38
23395 Relocation of one muscle of shoulder or upper arm	68	67	$4870.00	$810.06
23472 Prosthetic repair of shoulder joint, total shoulder	65	64	$6100.00	$1504.95
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	51	35	$1400.00	$1040.95
29823 Removal of extensive shoulder joint tissue using an endoscope	34	32	$5404.00	$343.02
73560 X-ray of knee, 1-2 views	27	19	$135.00	$33.27
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	24	24	$4639.00	$186.06
73070 X-ray of elbow, 2 views	21	14	$133.00	$27.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$293.00	$140.69
20902 Harvest of graft from large bone	19	19	$2955.00	$160.29
29827 Repair of shoulder rotator cuff using an endoscope	16	16	$5040.00	$1111.78
27447 Replacement of knee joint, both sides of knee	16	13	$9408.00	$1460.11
76000 Imaging guidance for procedure, 60 minutes or less	15	14	$57.00	$16.06
20605 Aspiration and/or injection of medium joint or joint capsule	13	12	$242.31	$56.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$265.00	$168.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	750	447	$136.00	$73.20
73030 X-ray of shoulder, minimum of 2 views	616	293	$173.72	$29.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	545	304	$25.11	$1.78
20610 Aspiration and/or injection of fluid from large joint	499	301	$272.78	$66.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	149	149	$184.00	$108.55
73562 X-ray of knee, 3 views	141	93	$188.29	$36.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	58	$173.00	$104.53
23395 Relocation of one muscle of shoulder or upper arm	58	57	$4870.00	$743.86
23472 Prosthetic repair of shoulder joint, total shoulder	56	55	$6981.14	$1530.93
73560 X-ray of knee, 1-2 views	44	35	$135.00	$30.74
J7327 Hyaluronan or derivative, monovisc, for intra-articular injection, per dose	37	30	$1850.00	$785.39
29823 Removal of extensive shoulder joint tissue using an endoscope	35	34	$5295.92	$281.73
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	31	15	$1400.00	$518.08
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	29	29	$4527.02	$172.66
77073 Imaging for bone length assessment	28	28	$280.68	$36.81
73070 X-ray of elbow, 2 views	27	20	$133.00	$27.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	24	$96.00	$44.75
73110 X-ray of wrist, minimum of 3 views	26	13	$163.00	$32.70
20605 Aspiration and/or injection of medium joint or joint capsule	25	18	$218.40	$50.97
29827 Repair of shoulder rotator cuff using an endoscope	20	20	$4863.60	$972.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$293.00	$139.44
73130 X-ray of hand, minimum of 3 views	18	13	$163.00	$31.21
27447 Replacement of knee joint, both sides of knee	17	17	$9408.00	$1376.78
73502 X-ray of hip, 2-3 views	14	11	$160.00	$37.82
23700 Manipulation of shoulder joint under anesthesia	13	12	$890.00	$112.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$265.00	$156.45
20902 Harvest of graft from large bone	12	11	$2955.00	$180.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	768	11	$27.08	$12.54
99213 Established patient office or other outpatient visit, typically 15 minutes	536	328	$136.00	$73.84
73030 X-ray of shoulder, minimum of 2 views	512	238	$173.93	$29.39
20610 Aspiration and/or injection of fluid from large joint	389	211	$286.03	$68.16
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	382	207	$25.53	$1.80
73562 X-ray of knee, 3 views	120	83	$189.41	$35.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	89	$173.00	$106.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	98	98	$184.00	$110.25
J7326 Hyaluronan or derivative, gel-one, for intra-articular injection, per dose	64	44	$1400.00	$552.83
23395 Relocation of one muscle of shoulder or upper arm	63	62	$4870.00	$739.18
23472 Prosthetic repair of shoulder joint, total shoulder	59	58	$10212.00	$1567.89
77073 Imaging for bone length assessment	39	39	$271.00	$35.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	32	$96.00	$44.53
73560 X-ray of knee, 1-2 views	31	24	$135.00	$31.51
73110 X-ray of wrist, minimum of 3 views	30	16	$163.00	$36.16
29823 Removal of extensive shoulder joint tissue using an endoscope	25	24	$5404.00	$315.03
20605 Aspiration and/or injection of medium joint or joint capsule	20	17	$220.50	$46.46
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	18	17	$4639.00	$184.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$293.00	$139.42
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$5040.00	$1097.53

Medical Specialties & State Licenses

CMS Verified: 2024-01-25

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License DE C1-0010957

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

First State Orthopaedics Pa

4745 Ogletown Stanton Rd, Newark, DE 197131340

Phone: 3027312888

Agape Physical Therapy And Sports Rehabilitation Lp

12 Newport Dr, Forest Hill, MD 210501758

Agape Physical Therapy And Sports Rehabilitation Lp

12 Newport Dr, Forest Hill, MD 210501758

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Gianna Pomykacz , PA

Physician Assistant

NPI 1013631142

Physician Assistant

Todd Miller , PA-C

Physician Assistant - Surgical

NPI 1023098944

Physician Assistant (Certified)

Bonnie Oconnor , PA-C

Physician Assistant - Surgical

NPI 1033199948

Physician Assistant (Certified)

Paula Smith , PA-C

Physician Assistant

NPI 1043281629

Physician Assistant (Certified)

Diane Hochstuhl , APN

Nurse Practitioner

NPI 1043302912

Advanced Practice Nurse

Braxton Childers , PA

Physician Assistant

NPI 1043791668

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location January 25, 2024

Registered at 4745 OGLETOWN STANTON RD STE 225, NEWARK, DE 197131387 (Tel: 3027312888)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2024

Orthopaedic Surgery (License #C1-0010957 in DE)

📍

Updated Business Mailing Address June 26, 2019

Registered at 211 EXECUTIVE DR STE 11, NEWARK, DE 197023358 (Tel: 3027312888)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2019

Orthopaedic Surgery (License #236968 in MA)

✅

NPI Profile Active May 04, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 04, 2016

Registered at 4745 OGLETOWN STANTON RD, STE 225, NEWARK, DE 197132067 (Tel: 3027312888)

📍

Updated Business Mailing Address May 04, 2016

Registered at 4745 OGLETOWN STANTON RD, STE 225, NEWARK, DE 197132067 (Tel: 3027312888)

👤

Provider Name / Credentials Updated May 04, 2016

Recorded as JEREMIE AXE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2016

Orthopaedic Surgery (License #C1-0010957 in DE)

🟢

Initial NPI Registration & Enumeration July 12, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093979692

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 12, 2008

Last Update: January 25, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

211 Executive Dr Ste 11

Newark, DE 197023358

Phone: 3027312888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.