Active NPI
Epn Urgent Care LLC
- Emergency Medicine Physician
- Naples, FL
National Provider Identifier
1275624579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- EPN URGENT CARE LLC
- Practice address
- 6400 Davis Blvd
Naples, FL 34104-5321 - Phone
- (239) 455-6300
- NPI assigned
- Sep 28, 2006
- Last updated
- Oct 23, 2008
- 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
- John P Lewis, MD
- Title
- President
- Phone
- (239) 262-4519
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
6400 Davis Blvd
Naples, FL 34104-5321
Mailing address
1112 Goodlette Rd N
Suite 204
Naples, FL 34102-5497
Phone (888) 311-8760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94800 | Other | FL | BCFL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1033979 | Epn Urgent Care | Certificate of waiver | Mar 31, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 94
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1224720000000",
"number": "1275624579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 GOODLETTE RD N",
"address_2": "SUITE 204",
"city": "NAPLES",
"state": "FL",
"postal_code": "341025497",
"telephone_number": "888-311-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 DAVIS BLVD",
"city": "NAPLES",
"state": "FL",
"postal_code": "341045321",
"telephone_number": "239-455-6300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EPN URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2008-10-23",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-262-4519",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCFL",
"identifier": "94800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.