Active NPI
Shuksan Emergency Physicians LLC
- Emergency Medicine Physician
- St Petersburg, FL
National Provider Identifier
1184033011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- SHUKSAN EMERGENCY PHYSICIANS LLC
- Practice address
- 2323 9TH Ave N
St Petersburg, FL 33713-6832 - Phone
- (727) 323-1111
- NPI assigned
- Aug 5, 2014
- Last updated
- Aug 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry Meadows, M.D.
- Title
- Vice President
- Phone
- (469) 401-2386
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary | |
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
2323 9TH Ave N
St Petersburg, FL 33713-6832
Mailing address
13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331
Phone (469) 401-2386
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1043268899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409011200000",
"number": "1184033011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "STE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331",
"telephone_number": "469-401-2386",
"fax_number": "214-712-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2323 9TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337136832",
"telephone_number": "727-323-1111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHUKSAN EMERGENCY PHYSICIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-05",
"last_updated": "2014-08-26",
"status": "A",
"authorized_official_last_name": "MEADOWS",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "469-401-2386",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.