EMERGENCY PHYSICIANS OF PINELLAS PA (NPI# 1023590056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023590056 |
| Entity Type | Organization |
| Organization Name | EMERGENCY PHYSICIANS OF PINELLAS PA |
| Practice Address |
3070 Grand Blvd Pinellas Park FL 33782 |
| Mailing Address |
298 S Yonge St Ormond Beach FL 32174-6264 |
| Practice Telephone | 3862747800 |
| Mailing Telephone | 3862747800 |
| Mailing Fax Number | 3862747801 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | DR. BRIAN HEDRICK (PRESIDENT) |
| Authorized Official Telephone | 7278231234 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3070 GRAND BLVD |
| City | PINELLAS PARK |
| State | FL |
| Zip Code | 33782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831756709 | Komal Schulte | Physical Therapist | 6774 102nd Avenue North, Pinellas Park, FL 33782 | 2019-05-24 |
| 1083130470 | Jessica Walker | Counselor | 8800 49 Th St. North, Pinellas Park, FL 33782 | 2017-08-17 |
| 1124549225 | Raymond Weldon Williams | Counselor | 8800 49th St. North, Suite 106, Pinellas Park, FL 33782 | 2017-06-29 |
| 1477082832 | Yazmin Alyssa Rivera | Counselor | 8800 49 St N, Pinellas Park, FL 33782 | 2017-06-08 |
| 1134658560 | Tesia L Preston | Counselor | 8800 49th Street N, Suite 106, Pinellas Park, FL 33782 | 2017-06-08 |
| 1548799950 | Mannette Joseph | Counselor | 8800 49th St N Ste.106, Pinellas Park, FL 33782 | 2017-06-08 |
| 1902335318 | Jessie Lynn Weiner | Counselor | 8800 49th St. N Ste 106, Pinellas Park, FL 33782 | 2017-06-08 |
| 1366971772 | Socrates Sakolevidis | Counselor | 8800 49th St N Suite 106, Pinellas Park, FL 33782 | 2017-06-08 |
| 1992182810 | Dennis Charles Lane I | Counselor | 4050 4th St. N #121, St. Petersburg, FL 33782 | 2015-04-29 |
| 1700226883 | Gv Pinellas Park, LLC | Alzheimer Center (Dementia Center) | 8980 49th Street North, Pinellas Park, FL 33782 | 2013-07-03 |
| Find all providers in zip 33782 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205368800 | Michael J Labance | Emergency Medicine | 6435 92nd Pl N Apt 906, Pinellas Park, FL 33782-4631 | 2017-04-01 |
| 1194131730 | Ivan Samcam | Emergency Medicine | 6640 78th Ave N Ste A, Pinellas Park, FL 33781 | 2014-07-03 |
| 1467646554 | Vanessa Velazquez Ruiz | Emergency Medicine | 3070 Grand Ave, Pinellas Park, FL 33782-6149 | 2007-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443965 | Baptist Hospital Inc | Emergency Medicine | 8888 Navarre Pkwy Ste 106, Navarre, FL 32566-3616 | 2020-10-07 |
| 1356958631 | Fg Rapid Results, LLC | Emergency Medicine | 115 Nw 167th St Ste 101, North Miami Beach, FL 33169-6052 | 2020-09-30 |
| 1407472723 | Dispatchhealth-florida Inc. | Emergency Medicine | 5421 Beaumont Center Blvd Ste 660, Tampa, FL 33634-5223 | 2020-06-23 |
| 1083233746 | Shaina Jerome | Emergency Medicine | 21175 Via Eden, Boca Raton, FL 33433-2209 | 2020-04-13 |
| 1003454430 | South Florida Urgent Care Centers, LLC | Emergency Medicine | 1855 N Corporate Lakes Blvd Ste 2, Weston, FL 33326-3274 | 2019-12-17 |
| 1649814054 | Emergency Medicine Professionals Pa | Emergency Medicine | 3120 Howland Blvd, Deltona, FL 32725-2905 | 2019-10-30 |
| 1427690353 | Emergency Physicians Inc | Emergency Medicine | 9868 Family Place, Jacksonville, FL 32222 | 2019-10-11 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1295290393 | Truepartners Westlake Emergency Specialists Pllc | Emergency Medicine | 16750 Persimmon Blvd, Westlake, FL 33470 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
| City | PINELLAS PARK |
| Zip Code | 33782 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.