EMORY MEDICAL CORPORATION (NPI# 1033542485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033542485 |
| Entity Type | Organization |
| Organization Name | EMORY MEDICAL CORPORATION |
| Other Organization Name | WOMEN'S CENTER OF FLORIDA |
| Practice Address |
1546 S Water St Ste. A Starke FL 32091-4511 |
| Mailing Address |
Po Box 1646 Lake City FL 32056-1646 |
| Practice Telephone | 9049644777 |
| Practice Fax Number | 9049644780 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-22 |
| Authorized Official Name | MRS. AMANDA BOLT (OFFICE MANAGER) |
| Authorized Official Telephone | 3864661106 |
| Is Organization Subpart | Y |
| Parent Organization Name | EMORY MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities | ||
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 174400000X | Specialist | 2093 | FL | Other Service Providers |
| Other Name | Type Code |
|---|---|
| WOMEN'S CENTER OF FLORIDA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598926263 | Emory Medical Corporation | Obstetrics & Gynecology | 4812 W Us Highway 90, Lake City, FL 32055-5126 | 2008-06-24 |
| Street Address |
1546 S WATER ST STE. A |
| City | STARKE |
| State | FL |
| Zip Code | 32091-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518947894 | Natalia Anatolievna Shiriaeva | Family Medicine | 1546 S Water St, Starke, FL 32091-4511 | 2006-01-20 |
| 1760661938 | Starke Family Medicine Clinic 01 Inc | Family Medicine | 1546 S Water St, Starke, FL 32091-4511 | 2007-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548758428 | North Florida Pediatrics, Pa | Pediatrics | North Florida Pediatrics, Pa, 417 East Call Street, Starke, FL 32091 | 2018-04-26 |
| 1568849313 | Myhealth Medical Association | Clinical Nurse Specialist | 3900 Se 38th Ave, Starke, FL 32091 | 2015-04-30 |
| 1801043641 | Michael Leonard Schlofman | Optometrist | 292 Lafayette St, Starke, FL 32091 | 2008-08-22 |
| 1790945236 | Nf Windsor LLC | Skilled Nursing Facility | 602 E. Laura Street, Starke, FL 32091 | 2008-06-09 |
| 1457564312 | Betsy Regina Ledbetter | Developmental Therapist | 417 W. Call St., Starke, FL 32091 | 2007-05-08 |
| 1841322245 | Melissa Diane Smith | Massage Therapist | 9551 Nw Cr 225, Starke, FL 32091 | 2007-03-12 |
| 1619010220 | Sunil Choudary Paladugu | Pharmacist | 470 W Madison St., Starke, FL 32091 | 2007-02-14 |
| 1043356215 | Shri Sairam Drugs LLC | Pharmacy | 395 W Madison St, Starke, FL 32091 | 2007-01-29 |
| 1962582742 | Virgil A Berry Jr. | Chiropractor | 601 E Call St, Starke, FL 32091 | 2006-10-16 |
| 1497786099 | Thomas Joseph Collins | Physician Assistant | 44th Cst/wmd Bldg# 4398, Camp Blanding Joint Training Center, Starke, FL 32091 | 2006-07-05 |
| Find all providers in zip 32091 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851577852 | Ann Elizabeth Hamilton | Specialist | 118 S Thompson St, Starke, FL 32091-4037 | 2008-01-21 |
| 1679620280 | Sarah C Bryan | Specialist | 2162 Ne 154th St, Starke, FL 32091-6418 | 2007-01-04 |
| 1285781864 | Nichole M Bigay | Specialist | 2162 Ne 154th St, Starke, FL 32091-6418 | 2007-01-04 |
| 1730242173 | Cardiolog Associates of Gainesville | Specialist | 922 E Call St, Starke, FL 32091-3616 | 2006-12-18 |
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| 1255957643 | Rhonda D Smith Roberts | Specialist | 2754 Sam Hardwick Blvd, Jacksonville, FL 32246-3892 | 2020-06-22 |
| 1316562911 | A School 4 Legends LLC | Specialist | 11565 Se 57th Ct, Belleview, FL 34420-4361 | 2020-06-10 |
| 1700400397 | Juda Mclaren | Specialist | 7360 Beacon Hill Loop Apt 8, Orlando, FL 32818-6431 | 2020-05-30 |
| 1811518384 | Lori Rubin | Specialist | 8181 W Broward Blvd Ste 204, Plantation, FL 33324-2049 | 2020-05-06 |
| Find all providers with the same taxonomy | ||||
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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.