Active NPI
Phoenix Emergency Services of Leesburg LLC
- Emergency Medicine Physician
- The Villages, FL
National Provider Identifier
1285821843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- PHOENIX EMERGENCY SERVICES OF LEESBURG LLC
- Practice address
- 1451 El Camino Real
The Villages, FL 32159-0041 - Phone
- (352) 753-6900
- Fax
- (919) 425-0478
- NPI assigned
- Sep 27, 2007
- Last updated
- May 27, 2009
- 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
- Dr. Steven R Scott, MD
- Title
- President
- Phone
- (919) 425-1565
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | FL | Primary |
Addresses
Primary practice location
1451 El Camino Real
The Villages, FL 32159-0041
Mailing address
3114 Croasdaile Dr Ste 200
Durham, NC 27705-2508
Phone (919) 425-1565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279928601 | Medicaid | FL |
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
- Fort Lauderdale, FL
- NPI 1659377463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1243382400000",
"number": "1285821843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3114 CROASDAILE DR STE 200",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052508",
"telephone_number": "919-425-1565",
"fax_number": "919-425-0478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 EL CAMINO REAL",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321590041",
"telephone_number": "352-753-6900",
"fax_number": "919-425-0478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHOENIX EMERGENCY SERVICES OF LEESBURG LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-27",
"last_updated": "2009-05-27",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-425-1565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279928601",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
- Pezzone Gastroenterology Associates PC
- Christopher Pham, PHARMD
- Taylar A Phan, ARNP
- Marcella E Phelps, FGP
- Kayla Phillips
- Physical Medicine & Rehab Associates
- Physical Therapy Now the Villages
- Kathleen Piazza, LCSW
- Pinnacle Home Care of the Villages LLC
- Pioneer Health Alliance Inc (Wellness On Wheels, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.