VIKING EMERGENCY PHYSICIANS, LLC (NPI# 1497128219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497128219 |
| Entity Type | Organization |
| Organization Name | VIKING EMERGENCY PHYSICIANS, LLC |
| Practice Address |
1500 Lee Blvd Lehigh Acres FL 33936-4835 |
| Mailing Address |
Po Box 80063 Philadelphia PA 19101-0063 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-17 |
| Authorized Official Name | GREGORY J. BYRNE, M.D. (OFFICER) |
| Authorized Official Telephone | 4694012386 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780042234 | Viking Emergency Physicians, LLC | Physician Assistant | 6101 Pine Ridge Rd, Naples, FL 34119-3900 | 2016-01-29 |
| 1558734384 | Viking Emergency Physicians, LLC | Physician Assistant | 10461 Quality Dr, Spring Hill, FL 34609-9634 | 2015-11-02 |
| 1598138315 | Viking Emergency Physicians, LLC | Physician Assistant | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2015-11-02 |
| 1508239328 | Viking Emergency Physicians, LLC | Physician Assistant | 4200 Sun N Lake Blvd, Sebring, FL 33872-1986 | 2015-11-02 |
| 1659744480 | Viking Emergency Physicians, LLC | Physician Assistant | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | 2015-11-02 |
| 1669845491 | Viking Emergency Physicians, LLC | Physician Assistant | 301 Memorial Medical Pkwy, Daytona Beach, FL 32117-5167 | 2015-11-02 |
| Street Address |
1500 LEE BLVD |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33936-4835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558358143 | Charles J Havel Jr. | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2005-09-29 |
| 1396345716 | Anita Dzelilovic | Social Worker | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2020-10-26 |
| 1881212322 | Kimberly L Harris | Registered Nurse | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2020-07-10 |
| 1710543640 | Small Hospital Innovations LLC | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2019-05-16 |
| 1922563485 | Prime Healthcare Services-lehigh Acres LLC | Psychiatric Unit | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2019-02-08 |
| 1235611286 | Jacquelyn Boberg | Nurse Practitioner | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2018-09-05 |
| 1568994564 | Leonie Hernandez | Nurse Practitioner | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2017-03-29 |
| 1083086995 | Anemone Emergency Physicians, LLC | Physician Assistant | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-10-30 |
| 1023488202 | Lehigh Regional Medical Center | Pharmacy | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-10-01 |
| 1194194720 | Prime Healthcare Services-lehigh Acres LLC | General Acute Care Hospital | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241939 | Happy Learning, LLC | Clinic/Center | 1400 Kimdale St E Ste 2, Lehigh Acres, FL 33936 | 2018-07-09 |
| 1184112906 | Fenix Behavior Therapy Co. | Behavioral Analyst | 15 Roosevelt Ave, Lehigh Acres, FL 33936 | 2018-04-26 |
| 1548781586 | Cossette Maiquez | Nurse Practitioner | 448 Morgan Circle South, Lehigh Acres, FL 33936 | 2017-06-29 |
| 1124567714 | Sweet Home Adult Day Care, LLC. | Clinic/Center | 201 Plaza Drive Suite #102, Lehigh Acres, FL 33936 | 2017-02-16 |
| 1306106612 | Darry Dean Griebel | Veterinarian | 21 S. Homestead Rd, Lehigh Acres, FL 33936 | 2012-05-21 |
| 1538469838 | V-20 Medical Services Inc | General Practice | 1420-1422 Lee Blvd, Lehigh Acres, FL 33936 | 2010-11-02 |
| 1093808552 | Abdel R Aryan | Pharmacist | 57 Homestead Rd No., Lehigh Acres, FL 33936 | 2006-10-02 |
| 1265534663 | Steve G Hunter | Pharmacist | 415 Homestead Rd, Lehigh Acres, FL 33936 | 2006-09-05 |
| 1699702035 | Florence Faye Doman | Internal Medicine | Lehigh Regional Medical Center, 1500 Lee Blvd., Lehigh Acres, FL 33936 | 2006-06-28 |
| 1396732970 | Joseph Francis Avey | Family Medicine | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 | 2005-09-29 |
| Find all providers in zip 33936 | ||||
| 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 |
|---|---|---|---|---|
| 1114385655 | Prime Healthcare Services - Lehigh Physician Management LLC | Emergency Medicine | 1530 Lee Blvd Ste 1100, Lehigh Acres, FL 33936-4887 | 2016-01-28 |
| 1558358143 | Charles J Havel Jr. | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2005-09-29 |
| 1710543640 | Small Hospital Innovations LLC | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2019-05-16 |
| 1881063824 | Lehigh Physician Services, LLC | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2015-09-21 |
| 1598844920 | Susan Marie Albow | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2006-11-05 |
| 1255384129 | Joseph D. Lemmons | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2006-05-19 |
| 1184677064 | Jennifer D. Nuss | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2006-05-19 |
| 1619926235 | Emcare Physician Providers, Inc. | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2006-05-09 |
| 1720037732 | Florida Em-i Medical Services Pa | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2006-05-08 |
| 1710936760 | Grandale Emergency Physicians | Emergency Medicine | 1500 Lee Blvd, Lehigh Acres, FL 33936-4835 | 2006-05-08 |
| Find all providers in LEHIGH ACRES | ||||
| City | LEHIGH ACRES |
| Zip Code | 33936 |
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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.