INDIAN RIVER EMERGENCY GROUP, LLC (NPI# 1235599499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235599499 |
| Entity Type | Organization |
| Organization Name | INDIAN RIVER EMERGENCY GROUP, LLC |
| Practice Address |
10461 Quality Dr Spring Hill FL 34609-9634 |
| Mailing Address |
5665 New Northside Dr Suite 320 Atlanta GA 30328-5831 |
| Practice Telephone | 3526888200 |
| Mailing Telephone | 7708745400 |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |
| Authorized Official Name | MR. PRESTON WILLIAMS SMITH (CHIEF REVENUE OFFICER) |
| Authorized Official Telephone | 7708745400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881054047 | Indian River Emergency Group, LLC | Emergency Medicine | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2016-03-02 |
| 1396172318 | Indian River Emergency Group, LLC | Emergency Medicine | 1000 36th St, Vero Beach, FL 32960-4862 | 2013-10-04 |
| Street Address |
10461 QUALITY DR |
| City | SPRING HILL |
| State | FL |
| Zip Code | 34609-9634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457332355 | Citrus Radiology Associates Pa | Radiology | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2005-11-08 |
| 1467923680 | Sir Benjomyne Jaimes Jackson | Dietitian, Registered | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2018-12-16 |
| 1780104398 | Jessica Stark | Family Medicine | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2017-06-23 |
| 1689116618 | W4p LLC | Emergency Medicine | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2016-11-08 |
| 1558734384 | Viking Emergency Physicians, LLC | Physician Assistant | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2015-11-02 |
| 1730551649 | Anemone Emergency Physicians, LLC | Physician Assistant | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2015-10-30 |
| 1407278765 | Hernando Radiology Consultants Pl | Radiology | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2014-01-06 |
| 1154655710 | Thomas E Parks | Physician Assistant | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2009-09-29 |
| 1508000704 | Radcare of Florida LLC | Radiology | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2009-05-01 |
| 1225288384 | Jennifer Lynne Salas | Physician Assistant | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2008-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033741970 | Tiffany Dawn Westbrook | Nurse Practitioner | 225 Mariner, Spring Hill, FL 34609 | 2020-02-09 |
| 1215450515 | Jessica Deprimo | Occupational Therapy Assistant | 224-236 Mariner Blvd, Spring Hill, FL 34609 | 2017-07-19 |
| 1760911259 | Sunset Family Inc. | Home Health | 4058 Puffer Trce, Spring Hill, FL 34609 | 2017-06-08 |
| 1073943213 | Isidora Alf, Inc | Assisted Living Facility | 3467 Everett Ave, Spring Hill, FL 34609 | 2013-11-26 |
| 1144667494 | Desiree Gagne | Occupational Therapist | 11216 Spring Hill Dr, Spring Hill, FL 34609 | 2013-05-28 |
| 1659635274 | Miyosia Plummer | Counselor | 7074 Grove Road, Brooksville, FL 34609 | 2012-06-28 |
| 1790074623 | Colleen Landry | Occupational Therapy Assistant | 14075 Cooper Rd, Spring Hill, FL 34609 | 2011-03-31 |
| 1639489438 | Anoop Karanth | Pharmacist | 13303 Haverhill Drive, Springhill, FL 34609 | 2010-10-14 |
| 1619283587 | Spring Hill Primary Care LLC | Internal Medicine | 34 Seven Hills Dr, Spring Hill, FL 34609 | 2010-08-30 |
| 1831330547 | Theresa M. Meloche, A.r.n.p. & Associates, Pllc | Nurse Practitioner | 4120 Charmwood Ave., Spring Hill, FL 34609 | 2009-03-10 |
| Find all providers in zip 34609 | ||||
| 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 |
|---|---|---|---|---|
| 1851639314 | Saturn Parkway Emergency Physicians, LLC | Emergency Medicine | 3001 Reserve Boulevard, Spring Hill, TN 37174 | 2013-01-17 |
| 1063673630 | Ramy Mohamed Zaki Nasr | Emergency Medicine | Bayfront Health Spring Hill, 10461 Quality Dr, Spring Hill, FL 34609 | 2008-06-17 |
| 1679663785 | Julian A Bennett | Emergency Medicine | 1010 Kyle Ln, Spring Hill, TN 37174-4534 | 2006-10-13 |
| 1467414094 | Joseph F Mcdonnell | Emergency Medicine | 22386 S Harrison St, Spring Hill, KS 66083-3148 | 2006-04-06 |
| 1689116618 | W4p LLC | Emergency Medicine | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2016-11-08 |
| 1912316761 | Peakview Emergency Physicians Pllc | Emergency Medicine | 3001 Reserve Blvd, Spring Hill, TN 37174-3088 | 2014-08-06 |
| 1093998833 | Quality Drive Emergency Physicians LLC | Emergency Medicine | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2007-12-16 |
| 1164443925 | Robert Falkowski | Emergency Medicine | 11375 Cortez Blvd, Spring Hill, FL 34613-5409 | 2006-07-21 |
| 1942245683 | Claude Edward Shackelford | Emergency Medicine | 3098 Campbell Station Pkwy, Spring Hill, TN 37174-6270 | 2006-06-17 |
| 1528000494 | Daniel James Newhaller | Emergency Medicine | 11375 Cortez Blvd, Spring Hill, FL 34613-5409 | 2006-06-12 |
| Find all providers in SPRING HILL | ||||
| City | SPRING HILL |
| Zip Code | 34609 |
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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.