The Galen Group

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

85762 Issued in FL

Legal business name

THE GALEN GROUP

Doing business as

ExpressCare

Practice address

536 Sea Winds Dr
Santa Rosa Beach, FL 32459-4395

Phone

(850) 797-2123

Fax

(850) 391-5100

NPI assigned

Sep 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Edmond K Safarian, MDNPI 1073587945

Title

Ceo

Phone

(850) 797-2123

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• ExpressCare Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edmond K Safarian, MD

  • Emergency Medicine Physician
  • Miramar Beach, FL
  • NPI 1073587945
  NPD (past) Authorized official

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1578897476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 SEA WINDS DR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594395",
            "telephone_number": "850-797-2123",
            "fax_number": "850-391-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 SEA WINDS DR",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324594395",
            "telephone_number": "850-797-2123",
            "fax_number": "850-391-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GALEN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "SAFARIAN",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-797-2123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "85762",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "85762",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "85762",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "85762",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "536SWD",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ExpressCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Medicine Physician in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, 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 24, 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.