Organization Active NPI

Pasame LLC

  • Emergency Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1376899575
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME94099 Issued in FL
Legal business name
PASAME LLC
Practice address
6817 Southpoint Pkwy
Suite 1704
Jacksonville, FL 32216-6282
Phone
(855) 424-3476
Fax
(800) 388-0270
NPI assigned
Jul 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Hale E Hedley, MD
Title
MD/Owner
Phone
(855) 424-3476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X ME94099 FL Primary

Addresses

Primary practice location

6817 Southpoint Pkwy
Suite 1704
Jacksonville, FL 32216-6282

Mailing address

6817 Southpoint Pkwy
Suite 1704
Jacksonville, FL 32216-6282
Phone (855) 424-3476

Other identifiers 1

IdentifierTypeStateIssuer
ME94099OtherFLME94099

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1376899575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "address_2": "SUITE 1704",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "855-424-3476",
            "fax_number": "800-388-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6817 SOUTHPOINT PKWY",
            "address_2": "SUITE 1704",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166282",
            "telephone_number": "855-424-3476",
            "fax_number": "800-388-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASAME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "HEDLEY",
        "authorized_official_first_name": "HALE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "855-424-3476",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME94099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME94099",
            "identifier": "ME94099",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.