REDFISH COVE INPATIENT SERVICES LLC (NPI# 1790106128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790106128 |
| Entity Type | Organization |
| Organization Name | REDFISH COVE INPATIENT SERVICES LLC |
| Practice Address |
700 Medical Blvd Englewood FL 34223-3964 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 9414756571 |
| Mailing Telephone | 4694012386 |
| Mailing Fax Number | 2147122444 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |
| Authorized Official Name | GREGORY BYRNE (PRESIDENT) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | MD |
| 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 |
| Street Address |
700 MEDICAL BLVD |
| City | ENGLEWOOD |
| State | FL |
| Zip Code | 34223-3964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021316 | Englewood Emergency Physicians Pa | Emergency Medicine | 700 Medical Blvd, Englewood, FL 34223-3964 | 2005-05-23 |
| 1720473051 | Ahsan Kamal Md | Internal Medicine | 700 Medical Blvd, Englewood, FL 34223-3964 | 2015-04-03 |
| 1104235589 | Fl-i Medical Services LLC | Physician Assistant | 700 Medical Blvd, Englewood, FL 34223-3964 | 2014-08-11 |
| 1326457888 | Ehra Medical Services of Florida LLC | Physician Assistant | 700 Medical Blvd, Englewood, FL 34223-3964 | 2014-08-10 |
| 1285043117 | Mount Si Emergency Physicians LLC | Emergency Medicine | 700 Medical Blvd, Englewood, FL 34223-3964 | 2014-08-05 |
| 1588073415 | Bluefish Lake Inpatient Services LLC | Internal Medicine | 700 Medical Blvd, Englewood, FL 34223-3964 | 2014-08-05 |
| 1609213545 | Gulf-to-bay Anesthesiology Associates LLC | Anesthesiology | 700 Medical Blvd, Englewood, FL 34223-3964 | 2013-06-02 |
| 1700130432 | Florida Em-i Medical Services Pa | Physician Assistant | 700 Medical Blvd, Englewood, FL 34223-3964 | 2012-11-02 |
| 1003169996 | Crestside Emergency Physicians, LLC | Emergency Medicine | 700 Medical Blvd, Englewood, FL 34223-3964 | 2012-10-17 |
| 1790030849 | Iryna Babych | Internal Medicine | 700 Medical Blvd, Englewood, FL 34223-3964 | 2012-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180285 | Shelby Katherine Chirillo | Behavior Technician | 2500 Bobcat Center, Suite G, North Port, FL 34223 | 2018-10-16 |
| 1073022885 | Stacey Jo Seitz | Nurse Practitioner | 900 Pine Street, Suite 222, Englewood, FL 34223 | 2017-09-25 |
| 1750823688 | Bernice Cynthia Putnam | Technician | 401 E Langsner St, Englewood, FL 34223 | 2016-11-09 |
| 1003366949 | Tiffany Kristine Lamarca | Nurse Practitioner | 2061 Englewood Rd Ste 5, Englewood, FL 34223 | 2016-10-04 |
| 1336578293 | Lawrence Hale | Dentist | 701 S Indiana Ave Ste A, Englewood, FL 34223 | 2013-11-01 |
| 1730404310 | Michael A Arpasi | Hearing Instrument Specialist | 1720 S Mccall Rd Ste H, Englewood, FL 34223 | 2010-04-07 |
| 1962657452 | Amy J. Culbertson | Nurse Practitioner | 1719 Gale St, Englewood, FL 34223 | 2008-11-25 |
| 1396884433 | Cynthia J Juliao | Audiologist | 1108 Larchmont Dr, Englewood, FL 34223 | 2007-02-05 |
| 1538224092 | Cynthia Kay Davis | Obstetrics & Gynecology | 2061 Englewood Rd Ste 1, Englewood, FL 34223 | 2006-12-26 |
| 1902966146 | Dennis M Jewell Dc Pa | Chiropractor | 579 South Indiana Ave, Suite C, Englewood, FL 34223 | 2006-12-11 |
| Find all providers in zip 34223 | ||||
| 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 |
|---|---|---|---|---|
| 1598926180 | James S Cohen | Emergency Medicine | 431 Lewelen Circle, Englewood, NJ 07631-2024 | 2008-06-17 |
| 1073636809 | James Michael Cusick | Emergency Medicine | 10309 E Lake Dr, Englewood, CO 80111-5499 | 2007-04-08 |
| 1619080165 | Michael J Annunziata | Emergency Medicine | 1676 New Point Comfort Rd, Englewood, FL 34223-4878 | 2006-08-17 |
| 1063490159 | Stanley F Siefer | Emergency Medicine | 901 W Hampden Ave, Suite 103, Englewood, CO 80110-7331 | 2006-01-09 |
| 1538145701 | Diahn E. Lohman | Emergency Medicine | 4960 S Lafayette Ln, Englewood, CO 80113-7013 | 2005-12-20 |
| 1942283569 | Gregory W. Burcham | Emergency Medicine | 501 E. Hampden Avenue, Englewood, CO 80113-2702 | 2005-11-29 |
| 1740288570 | Sau Yan Yee | Emergency Medicine | 245 Engle St, Englewood, NJ 07631-2465 | 2005-07-14 |
| 1518960772 | Kendal Barton Stiles | Emergency Medicine | 2140 Lemon Ave, Englewood, FL 34223-6453 | 2005-05-23 |
| 1124021316 | Englewood Emergency Physicians Pa | Emergency Medicine | 700 Medical Blvd, Englewood, FL 34223-3964 | 2005-05-23 |
| 1184118945 | Kristen Amo Sena | Emergency Medicine | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2018-06-15 |
| Find all providers in ENGLEWOOD | ||||
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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.