Active NPI
Emergency Medicine Group PL
- Emergency Medicine Physician
- Tampa, FL
National Provider Identifier
1306015037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- EMERGENCY MEDICINE GROUP PL
- Practice address
- 3100 E Fletcher Ave
Tampa, FL 33613-4613 - Phone
- (813) 971-6000
- NPI assigned
- Feb 27, 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
- Brian Baker
- Title
- Chief Executive Officer
- Phone
- (813) 972-4199
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 | Primary |
Addresses
Primary practice location
3100 E Fletcher Ave
Tampa, FL 33613-4613
Mailing address
12479 Telecom Dr
Temple Terrace, FL 33637-0913
Phone (813) 972-4199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21869 | Other | FL | BCBS OF FLORIDA |
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.
-
- Physician Assistant
- Tampa, FL
- NPI 1346293834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431475200000",
"number": "1306015037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12479 TELECOM DR",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370913",
"telephone_number": "813-972-4199",
"fax_number": "813-972-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 E FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134613",
"telephone_number": "813-971-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGENCY MEDICINE GROUP PL",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-27",
"last_updated": "2015-05-13",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "813-972-4199"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "21869",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Emerald Compounding Pharmacy, LLC
- Emerald Path Counseling
- Emergence, M.a.T. LLC
- Emergency Medical Associates of Florida LLC
- Emergency Medical Associates of Tampa Bay, LLC (Excelis Medical Associates)
- Emergency Medicine of Florida, Inc. (COMBI (Comprehensive Occupational Medicine for Business & Industry))
- Emergency Medicine Services of FL, LLC
- Emeritus Corporation (Brookdale Northdale)
- Stephany Lynn Emerson, OTD
- Kelly Emge
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.