Emerald Coast Emergency Physicians LLP

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EMERALD COAST EMERGENCY PHYSICIANS LLP

Practice address

996 Airport Rd
Destin, FL 32541-2824

Phone

(850) 837-9194

NPI assigned

Dec 11, 2008

Last updated

Sep 21, 2009By 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. Derik K King, MDNPI 1376560912

Title

LLP Managing Partner

Phone

(866) 916-5259

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Derik K King, M.D., FACEP

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1376560912
  Authorized official Same address or phone

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1396980926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602162",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602162",
            "telephone_number": "866-916-5259",
            "fax_number": "231-922-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "996 AIRPORT RD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412824",
            "telephone_number": "850-837-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD COAST EMERGENCY PHYSICIANS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DERIK",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LLP MANAGING PARTNER",
        "authorized_official_telephone_number": "866-916-5259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000625802",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "72205",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth S. Roberson, M.D., P.a.
• Zandalee Elliott, BCABA
• Emerald Coast Adult Day Care Center LLC
• Emerald Coast Counseling Center PA (Destin Counseling Center)
• Emerald Coast Cryotherapy, Performance & Recovery, LLC
• Emerald Coast Infectious Diseases Medical Group, P.a. (American Medical Group)
• Emerald Coast Physical Therapy LLC
• Emerald Coast Psychology LLC
• Emerald Coast Radiation Oncology
• Emerald Coast Urgent Care LLC

• Emergency Medicine Physician in Destin, FL
• Providers in Destin, 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 Sep 21, 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.

Verify at the official NPI Registry.