Eaglemed LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

EAGLEMED LLC

Doing business as

EagleMed Air Medical

Practice address

4211 Jerry L Maygarden Rd
Pensacola, FL 32504-5029

Phone

(877) 288-5340

NPI assigned

Jun 24, 2014

Organization subpart

Yes

Parent organization

EAGLEMED LLCAs reported in NPPES

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

Authorized official

Name

Eric Thomas

Title

SVP of Revenue Management

Phone

(877) 288-5340

Specialties & licenses 1

Addresses

Other names 1

• EagleMed Air Medical Doing business as

Part of

Eaglemed LLC

Locations

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1437564986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 JERRY L MAYGARDEN RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045029",
            "telephone_number": "877-288-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLEMED LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLEMED LLC",
        "enumeration_date": "2014-06-24",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SVP OF REVENUE MANAGEMENT",
        "authorized_official_telephone_number": "877-288-5340"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EagleMed Air Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EagleMed Air Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dynamic Pain & Wellness PLLC
• Dynamic Pain & Wellness PLLC
• E. Lynn Phillips MD PA (Orthopedic Hospitalist of Pensacola)
• Alyssa Eadler
• Tabatha Jolane Eady
• Ryan H Ealum, AGACNP-BC
• Ear Nose & Throat- Head & Neck Surgery of Pensacola PA
• Earl J Crosswright MD PA
• Benjamin C Early III
• Matthew Wade Early, MD

• Air Ambulance in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Air Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.