NPIMap

Organization Active NPI

Westlake Emergency Medical Associates & Consultants, LLC

  • Emergency Medicine Physician
  • Macclenny, FL
National Provider Identifier
1255630554
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
WESTLAKE EMERGENCY MEDICAL ASSOCIATES & CONSULTANTS, LLC
Practice address
159 N 3Rd St
Macclenny, FL 32063-2103
Phone
(904) 259-3151
NPI assigned
Mar 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Judy Schroeder
Title
Sole Owner
Phone
(904) 437-7830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

159 N 3Rd St
Macclenny, FL 32063-2103

Mailing address

9526 Argyle Forest Blvd
Suite B2 #304
Jacksonville, FL 32222-2825

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1255630554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9526 ARGYLE FOREST BLVD",
            "address_2": "SUITE B2 #304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322222825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 N 3RD ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632103",
            "telephone_number": "904-259-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE EMERGENCY MEDICAL ASSOCIATES & CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-25",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "904-437-7830"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macclenny, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.