BLUE JOB EMERGENCY PHYSICIANS LLC


Address: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708
Phone: 8508640213

BLUE JOB EMERGENCY PHYSICIANS LLC (NPI# 1457760142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457760142
Entity Type Organization
Organization Name BLUE JOB EMERGENCY PHYSICIANS LLC
Practice Address 1000 Mar Walt Dr
Fort Walton Beach
FL 32547-6708
Mailing Address 13737 Noel Rd
Ste 1600
Dallas
TX 75240-1331
Practice Telephone 8508640213
Mailing Telephone 4694012386
Mailing Fax Number 2147122444
Enumeration Date 2014-08-06
Last Update Date 2014-08-06
Authorized Official Name TERRY MEADOWS (PRESIDENT)
Authorized Official Telephone 4694012386
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 1000 MAR WALT DR
City FORT WALTON BEACH
State FL
Zip Code 32547-6708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699779389 Hien Dao Emergency Medicine 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2005-06-09
1619578663 Noles Medical Services Inc Clinic/Center 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2020-11-05
1629686878 Eric Daniel Hinojosa Nurse Practitioner 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2020-07-14
1548889215 Jennifer D Grady Nurse Practitioner 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2020-04-13
1578194247 Laura Pavel Ketelsen Nurse Anesthetist, Certified Registered 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2020-01-30
1508422106 Jamie Marie Herndon Registered Nurse 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2019-05-20
1801354477 Victoria Ann Miles-nance Nurse Anesthetist, Certified Registered 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2019-03-03
1447723457 Jolyn Marie Pelesky Nurse Anesthetist, Certified Registered 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2019-01-03
1346718442 Hannah Beth Webster Nurse Practitioner 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2018-11-06
1104301332 Nicholas Joseph Dokianos Internal Medicine 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2018-10-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255944955 Theresa Ann Morvay Behavior Technician 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 2020-08-24
1588295422 Emily Ann Glossop Nurse Practitioner 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 2020-01-29
1225669443 Elizabeth Rogers Nagengast Physician Assistant 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 2020-01-27
1497254791 Carmen Alston Nurse Practitioner 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 2018-02-02
1871004960 Center for Neuropsychological Services Cns Clinical Neuropsychologist 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 2017-10-17
1194235648 Robin Wray Speech-Language Pathologist 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 2017-10-10
1285007989 Dynamic Pain & Wellness Pllc Pain Medicine 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 2015-11-04
1013392810 Terry Abbott Social Worker 648 Overbrook Dr, Fort Walton Beach, FL 32547 2015-07-22
1083024673 Emily Lohr Physical Therapy Assistant 2000 Principle Ln, Ft. Walton Beach, FL 32547 2014-05-05
1831526102 Laurie Ann Schweppe Nurse Practitioner 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 2013-10-02
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710114848 Rebecca A Horst Emergency Medicine 1100 Mar Walt Dr, Fort Walton Beach Med Center, Fort Walton Beach, FL 32547-1302 2009-06-16
1487646725 Sally A. Cooper Emergency Medicine 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 2005-08-22
1912902982 Gustavo F Ros Emergency Medicine 914 Mar Walt Dr, Ste C, Fort Walton Beach, FL 32547 2005-06-16
1699779389 Hien Dao Emergency Medicine 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2005-06-09
1639626187 Thomasville Emergency Physicians LLC Emergency Medicine 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2016-09-01
1972845238 Stephanie Owen Emergency Medicine 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2013-03-25
1831461433 Jacksonville Emergency Consultants Emergency Medicine 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2012-01-30
1164711206 Emergency Providers Group LLC Emergency Medicine 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2011-03-29
1891935961 Steven Lee Nodine Emergency Medicine 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 2009-03-02
1750526398 Emerald Coast Emergency Physicians LLP Emergency Medicine 1000 Mar-walt Drive, Fort Walton Beach, FL 32547-6795 2008-12-11
Find all providers in FORT WALTON BEACH

Competitor

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City FORT WALTON BEACH
Zip Code 32547

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Dataset Information

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.

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