EMERALD COAST MEDICAL SUPPLIES LLC (NPI# 1730527086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730527086 |
| Entity Type | Organization |
| Organization Name | EMERALD COAST MEDICAL SUPPLIES LLC |
| Other Organization Name | EMERALD COAST MEDICAL SUPPLIES |
| Practice Address |
48 Bald Eagle Drive Santa Rosa Beach FL 32459 |
| Practice Telephone | 8506877335 |
| Mailing Telephone | 8506877335 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | TARA FOSTER (OWNER) |
| Authorized Official Telephone | 8506877335 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Other Name | Type Code |
|---|---|
| Emerald Coast Medical Supplies | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023540648 | Emerald Coast Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 48 Bald Eagle Dr, Santa Rosa Beach, FL 32459 | 2017-04-02 |
| Street Address |
48 BALD EAGLE DRIVE |
| City | SANTA ROSA BEACH |
| State | FL |
| Zip Code | 32459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740521 | Gary Mcfadyen | Hearing Instrument Specialist | 395 E. Point Washington, Santa Rosa Beach, FL 32459 | 2020-11-04 |
| 1235783218 | Camilla Ruth Chacon | Nurse Practitioner | 4821 Highway 98 West, Suite 104, Santa Rosa Beach, FL 32459 | 2019-07-29 |
| 1942797287 | Lauren Mank | Assistant Behavior Analyst | 67 Hiker St Fl 32459, Santa Rosa Beach, FL 32459 | 2018-04-20 |
| 1740781137 | Imaging Institute LLC | Radiology | 6757 Us Hwy 98 W Ste 301, Santa Rosa Beach, FL 32459 | 2018-02-22 |
| 1023540648 | Emerald Coast Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 48 Bald Eagle Dr, Santa Rosa Beach, FL 32459 | 2017-04-02 |
| 1215485230 | Tamra Snook | Social Worker | 156 N County Highway 393 Unit 1, Santa Rosa Beach, FL 32459 | 2016-09-19 |
| 1437605730 | Alexandra Armstrong | Physical Therapist | 249 Mack Bayou Loop Ste 101, Santa Rosa Beach, FL 32459 | 2016-08-28 |
| 1386097749 | Itetra Smith | Behavior Technician | 67 Hiker St, Santa Rosa Beach, FL 32459 | 2016-07-20 |
| 1114269768 | Pamela Jean Skaff | Dentist | 101 Lecom Way, Defuniak Springs, FL 32459 | 2013-03-21 |
| 1215278650 | Emilia Banse | Nurse Practitioner | 120 Golden Eagle Ct, Santa Rosa Beach, FL 32459 | 2013-03-11 |
| Find all providers in zip 32459 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023540648 | Emerald Coast Medical Supplies LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 48 Bald Eagle Dr, Santa Rosa Beach, FL 32459 | 2017-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345932 | Housecallspinedoctor.com, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 221 W Hallandale Beach Blvd # 346, Hallandale Beach, FL 33009-5441 | 2020-08-07 |
| 1265065924 | Affordable Portable Ultrasound LLP | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1211 Tech Blvd Ste 114, Tampa, FL 33619-7846 | 2020-02-20 |
| 1467016725 | Rtm Billing Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 685 S Ronald Reagan Blvd Ste 205, Longwood, FL 32750-6435 | 2019-04-23 |
| 1174081889 | Spectrum Geotech LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3313 Bartlett Blvd, Orlando, FL 32811-6401 | 2019-03-12 |
| 1386123503 | Afily8 Government Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5371 Nw 32nd Ct, Margate, FL 33063-1504 | 2018-08-08 |
| 1780178947 | Diagnostic Alianza Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8739 Sw 4th Ln, Miami, FL 33174-2438 | 2018-06-20 |
| 1407343031 | Imaging Health Solution LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6296 Corporate Ct Unit A201c, Fort Myers, FL 33919-3500 | 2018-04-19 |
| 1093211898 | Mobile Sound LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1774 Via Granada, Boynton Beach, FL 33426-8256 | 2018-04-02 |
| 1912409301 | Precision Medical Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5404 Gulfport Ter, Port Charlotte, FL 33981-2028 | 2018-03-01 |
| 1295286417 | Mdconnect LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 11161 E State Road, 110, Lakewood Ranch, FL 34202-9407 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA BEACH |
| Zip Code | 32459 |
Please comment or provide details below to improve the information on EMERALD COAST MEDICAL SUPPLIES LLC.
| 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.