Organization Active NPI

Peninsula Emergency Physicians

  • Emergency Medicine Physician
  • Ormond Beach, FL
National Provider Identifier
1477502037
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
PENINSULA EMERGENCY PHYSICIANS
Practice address
264 S Atlantic Ave
Ormond Beach, FL 32176-8149
Phone
(386) 676-4260
Fax
(386) 676-4248
NPI assigned
May 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Terry Meadows
Title
Vice President
Phone
(800) 507-8874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

264 S Atlantic Ave
Ormond Beach, FL 32176-8149

Mailing address

PO Box 41757
Philadelphia, PA 19101-1757
Phone (800) 507-8874

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477502037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41757",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191011757",
            "telephone_number": "800-507-8874",
            "fax_number": "727-507-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 S ATLANTIC AVE",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321768149",
            "telephone_number": "386-676-4260",
            "fax_number": "386-676-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA EMERGENCY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-507-8874"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.