Active NPI
Gerry F. Emmanuel, M.D.
- Anesthesiology Physician
- Orlando, FL
National Provider Identifier
1487600250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME113870
- Practice address
- 225 E Robinson St
Suite 130
Orlando, FL 32801-4322 - Phone
- (407) 581-9180
- Fax
- (865) 560-7066
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C38755 | CA | |
| Anesthesiology Physician | 207L00000X | ME113870 | FL | Primary |
Addresses
Primary practice location
225 E Robinson St
Suite 130
Orlando, FL 32801-4322
Mailing address
340 Garden LN
Atlantic Beach, FL 32233-4522
Phone (209) 417-7666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C387550 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3471 | ND | MD | Pharmacist |
| ME113870 | FL | MD | Anesthesiology Physician |
| 38755 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Partners of North Valley | Anesthesiology | Current | Accepting new patients |
| Gerry F Emmanuel MD Inc | Anesthesiology | Past | Accepting new patients |
| Delbon Anesthesia Medical Group | Anesthesiology | Past | Accepting new patients |
Locations
1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254
Networks
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Turlock, CA
- NPI 1891720090
-
- Anesthesiology Physician
- Turlock, CA
- NPI 1528011392
-
- Anesthesiology Physician
- Lancaster, CA
- NPI 1639104144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1487600250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 GARDEN LN",
"city": "ATLANTIC BEACH",
"state": "FL",
"postal_code": "322334522",
"telephone_number": "209-417-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E ROBINSON ST",
"address_2": "SUITE 130",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328014322",
"telephone_number": "407-581-9180",
"fax_number": "865-560-7066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMMANUEL",
"first_name": "GERRY",
"middle_name": "F.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "C38755",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME113870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C387550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.