NEW SMYRNA BEACH URGENT CARE, LLC (NPI# 1801126297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801126297 |
Entity Type | Organization |
Organization Name | NEW SMYRNA BEACH URGENT CARE, LLC |
Practice Address |
1860 Renzulli Road New Smyrna Beach FL 32168-1726 |
Mailing Address |
1860 Renzulli Rd New Smyrna Beach FL 32168-1726 |
Practice Telephone | 3866633061 |
Practice Fax Number | 3866633066 |
Mailing Telephone | 3866633061 |
Mailing Fax Number | 3866633066 |
Enumeration Date | 2010-01-06 |
Last Update Date | 2010-04-26 |
Authorized Official Name | MS. ERIN C MAXWELL (MANAGING MEMBER) |
Authorized Official Telephone | 3866633061 |
Authorized Official Credential | PA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146N00000X | Emergency Medical Technician, Basic | ========= | FL | Emergency Medical Service Providers |
Street Address |
1860 RENZULLI ROAD |
City | NEW SMYRNA BEACH |
State | FL |
Zip Code | 32168-1726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245213966 | Todd K. Bergan | Physician Assistant | 1860 Renzulli Road, New Smyrna Beach, FL 32168-1726 | 2005-11-28 |
1932253580 | Rindy Nong | Physician Assistant | 1860 Renzulli Road, New Smyrna Beach, FL 32168-1726 | 2007-01-22 |
1730128448 | Erin C. Sloan | Physician Assistant | 1860 Renzulli Road, New Smyrna Beach, FL 32168-1726 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114546504 | Karen Lynn Gray | Occupational Therapist | 125 Memorial Medical Parkway, New Smyrna Beach, FL 32168 | 2020-04-15 |
1619500154 | Janelle Wadman | Physical Therapist | 1994 Sr-44, New Smyrna Beach, FL 32168 | 2020-02-12 |
1184262354 | Jessica Magers, LLC | Clinic/Center | 136 Julie St., New Smyrna Beach, FL 32168 | 2019-12-18 |
1760027171 | Jessica Lyn Magers | Counselor | 136 Julia Street, Unit 100, New Smyrna Beach, FL 32168 | 2019-11-08 |
1326453747 | Prc Associates, LLC | Anesthesiology | 501 S. Orange St., New Smyrna Beach, FL 32168 | 2014-06-24 |
1265842272 | David Farmer | Chiropractor | 532 Canal Street, New Smyrna Beach, FL 32168 | 2014-04-29 |
1184059750 | Fairgreen Assisted Living Inc. | Assisted Living Facility | 1150 Wayne Ave., New Smyrna Beach, FL 32168 | 2013-09-13 |
1427393982 | Jami L Peace | Hearing Instrument Specialist | 111 N Orange St, New Smyrna Beach, FL 32168 | 2012-12-10 |
1154608149 | Roberta Bornemann | Specialist | 519 Mill Run Drive, New Smyrna, FL 32168 | 2011-11-04 |
1023314358 | Scott Asman | Hearing Instrument Specialist | 1958 State Road 44, New Smyrna Beach, FL 32168 | 2011-02-03 |
Find all providers in zip 32168 |
Taxonomy Code | 146N00000X |
Grouping | Emergency Medical Service Providers |
Classification | Emergency Medical Technician, Basic |
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588283071 | James Bridges | Emergency Medical Technician, Basic | 2001 Saxon Dr, New Smyrna Beach, FL 32169-3246 | 2020-04-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043831399 | Joseph Anthony Pingatore | Emergency Medical Technician, Basic | 6030 Wilkinson Rd Apt 210, Sarasota, FL 34233-3872 | 2020-04-28 |
1891336327 | Tony Bernard Anderson Sr. | Emergency Medical Technician, Basic | 20324 Nw 36th Ct, Miami Gardens, FL 33056-1749 | 2019-10-06 |
1538727359 | Robert Ortega IIi | Emergency Medical Technician, Basic | 1513 Se 20th Pl, Homestead, FL 33035-2609 | 2019-06-05 |
1013472042 | Christine Anne Sacramento | Emergency Medical Technician, Basic | 20803 Johnson St, Pembroke Pines, FL 33029-1916 | 2019-02-04 |
1922502434 | David Patlak | Emergency Medical Technician, Basic | 1881 Washington Ave Apt 2h, Miami Beach, FL 33139-7445 | 2018-03-20 |
1164961694 | Dowil Henry | Emergency Medical Technician, Basic | 9628 Ne 2nd Ave, Suite#b3, Miami Shores, FL 33138-2767 | 2017-02-16 |
1841734266 | John Mccants | Emergency Medical Technician, Basic | 1302 Detour Rd, Haines City, FL 33844-9304 | 2016-12-05 |
1437600418 | Isabel Brasil | Emergency Medical Technician, Basic | 8928 W 35th Ln, Hialeah, FL 33018-1887 | 2016-10-14 |
1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
1679946321 | Marcos Abreu Hernandez | Emergency Medical Technician, Basic | 5282 Robbie Ct, West Palm Beach, FL 33415-9108 | 2015-11-03 |
Find all providers with the same taxonomy |
City | NEW SMYRNA BEACH |
Zip Code | 32168 |
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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.