Emergency Medical Specialists of Jacksonville

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EMERGENCY MEDICAL SPECIALISTS OF JACKSONVILLE

Practice address

1 Shircliff Way
Jacksonville, FL 32204-4778

Phone

(904) 308-7300

Fax

(419) 866-5453

NPI assigned

May 23, 2005

Last updated

Feb 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Lucey, MDNPI 1013959709

Title

Partner

Phone

(904) 308-7300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 148

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.

• Paul D Lucey, MD

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1013959709
  Medicare reassignment NPD Authorized official
• James John Aiello, MD

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1124093257
  Medicare reassignment NPD
• Alejandro Alonso

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1386179927

  Single Specialty

  Medicare reassignment NPD
• Cheryl Anderson Caska

  • Nurse Practitioner
  • Lake Butler, FL
  • NPI 1356690721
  Medicare reassignment NPD
• Wilbur L Augenstein, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jacksonville, FL
  • NPI 1013975507
  Medicare reassignment NPD
• Elizabeth G. Bagan, ARNP, NP-C, ENP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1225560691
  Medicare reassignment NPD
• Hugo Romulo Basterrechea Jr., MD

  • Emergency Medicine Physician
  • Winter Park, FL
  • NPI 1740452002
  Medicare reassignment NPD
• Bradley Berger, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Jacksonville, FL
  • NPI 1144278011
  Medicare reassignment NPD
• Joe P Bhagratie, DO

  • Sports Medicine (Family Medicine) Physician
  • Jacksonville, FL
  • NPI 1346801453
  Medicare reassignment NPD
• Wylene N Bhanji, DO

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1518924166
  Medicare reassignment NPD
• James Michael Broome

  • Emergency Medicine Physician
  • Ponte Vedra, FL
  • NPI 1861953358
  Medicare reassignment NPD
• Laurie Susan Bryant, D.O.

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1942567375
  Medicare reassignment NPD

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1295738367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863026",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863026",
            "telephone_number": "800-288-8325",
            "fax_number": "419-866-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHIRCLIFF WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044778",
            "telephone_number": "904-308-7300",
            "fax_number": "419-866-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MEDICAL SPECIALISTS OF JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "LUCEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "904-308-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.