NPIMap

Organization Active NPI

Guidewell Emergency Medicine Doctors, LLC

  • Urgent Care Clinic/Center
  • Tampa, FL
National Provider Identifier
1164049763
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC
Practice address
16318 N Dale Mabry Hwy
Tampa, FL 33618-1341
Phone
(904) 885-2413
Fax
(904) 647-5559
NPI assigned
Jun 30, 2020
Organization subpart
Yes
Parent organization
GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Walker, RN
Title
VP of Operations
Phone
(904) 885-2413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

16318 N Dale Mabry Hwy
Tampa, FL 33618-1341

Mailing address

4800 Deerwood Campus Pkwy FL Dc1004
Jacksonville, FL 32246-8317
Phone (904) 885-2413

National Provider Directory

National Provider Directory
Tax ID family
Guidewell Emergency Medicine Doctors19 organizations share this tax ID, including this one
Part of
Guidewell Emergency Medicine Doctors

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1164049763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 DEERWOOD CAMPUS PKWY FL DC1004",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322468317",
            "telephone_number": "904-885-2413",
            "fax_number": "904-647-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16318 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336181341",
            "telephone_number": "904-885-2413",
            "fax_number": "904-647-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC",
        "enumeration_date": "2020-06-30",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "904-885-2413",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.