EMERGENCY MEDICAL ASSOCIATES OF TAMPA BAY LLC (NPI# 1710266507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710266507 |
| Entity Type | Organization |
| Organization Name | EMERGENCY MEDICAL ASSOCIATES OF TAMPA BAY LLC |
| Practice Address |
4211 Van Dyke Rd Lutz FL 33558-8002 |
| Mailing Address |
Po Box 9790 Daytona Beach FL 32120-9790 |
| Practice Telephone | 8134437000 |
| Mailing Telephone | 3862747800 |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |
| Authorized Official Name | JAMES A WILSON (REGISTERED AGENT) |
| Authorized Official Telephone | 8138704000 |
| Authorized Official Credential | MD |
| 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 |
|---|---|---|---|---|
| 1194126821 | Emergency Medical Associates of Tampa Bay LLC | Emergency Medicine | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2014-09-12 |
| 1023397817 | Emergency Medical Associates of Tampa Bay LLC | Emergency Medicine | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2011-08-10 |
| Street Address |
4211 VAN DYKE RD |
| City | LUTZ |
| State | FL |
| Zip Code | 33558-8002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306841937 | Ronald Eugene Stephans Jr. | Family Medicine | 4211 Van Dyke Rd, Suite B, Lutz, FL 33558-8005 | 2005-06-20 |
| 1871119008 | Jeysi Alvarez | Anesthesiologist Assistant | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-06-23 |
| 1548884364 | Garren Dial | Anesthesiologist Assistant | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-06-08 |
| 1861028409 | Chf Care Pllc | Internal Medicine | 4211 Van Dyke Rd, Lutz, FL 33558-8005 | 2020-03-16 |
| 1861850117 | Baycare Medical Group Pediatric Walk-in Care LLC | Pediatrics | 4211 Van Dyke Rd, Suite 100, Lutz, FL 33558-8005 | 2016-02-02 |
| 1457623233 | St Josephs Hopsital | Nurse Practitioner | 4211 Van Dyke Rd, Lutz, FL 33558-8002 | 2012-02-08 |
| 1194016006 | Tampa Cardiac Specialists LLC | Internal Medicine | 4211 Van Dyke Rd, Suite 205, Lutz, FL 33558-8002 | 2011-04-26 |
| 1710277249 | Brett A Armstrong | Surgery | 4211 Van Dyke Rd, Suite 200, Lutz, FL 33558-8004 | 2011-04-18 |
| 1881995579 | Deana M Lantz | Nurse Practitioner | 4211 Van Dyke Rd, Suit 101b, Lutz, FL 33558-8005 | 2010-11-11 |
| 1316268147 | Emergency Medical Associates of Florida LLC | Emergency Medicine | 4211 Van Dyke Rd, Lutz, FL 33558-8002 | 2010-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
| 1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
| 1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
| 1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
| 1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
| 1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
| 1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
| Find all providers in zip 33558 | ||||
| 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 |
|---|---|---|---|---|
| 1356420061 | Patrick Lee Agdamag | Emergency Medicine | 4691 Van Dyke Rd, Lutz, FL 33558 | 2006-11-03 |
| 1255395638 | Joseph Lee Braun | Emergency Medicine | 4721 Rue Bordeaux, Lutz, FL 33558-5368 | 2006-04-13 |
| 1063487635 | Michael Anthony Loguidice Sr. | Emergency Medicine | 23110 Sr 54 #328, Lutz, FL 33549 | 2006-02-17 |
| 1316268147 | Emergency Medical Associates of Florida LLC | Emergency Medicine | 4211 Van Dyke Rd, Lutz, FL 33558-8002 | 2010-06-16 |
| 1396932364 | William A Downes | Emergency Medicine | 22945 State Road 54, Lutz, FL 33549-6900 | 2007-10-03 |
| 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 |
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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.