NPIMap

Organization Active NPI

Emergency Medicine Professionals PA

  • Emergency Medicine Physician
  • Palm Coast, FL
National Provider Identifier
1669164000
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EMERGENCY MEDICINE PROFESSIONALS PA
Practice address
3 Adventhealth Way
Palm Coast, FL 32137-4702
Phone
(386) 586-4243
Fax
(386) 586-4620
NPI assigned
May 24, 2023
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Sandy Alderman
Title
Credentialing Coordinator
Phone
(386) 310-3529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

3 Adventhealth Way
Palm Coast, FL 32137-4702

Mailing address

222 S Peninsula Dr
Daytona Beach, FL 32118-4422
Phone (386) 310-2160

National Provider Directory

National Provider Directory
Tax ID family
Emergency Medicine Professionals PA9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1530 Cornerstone Blvd
Ste 120
Daytona Beach, FL 32117
Phone (386) 310-2160

3 Adventhealth Way
Palm Coast, FL 32137
Phone (386) 586-4243

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1669164000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S PENINSULA DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184422",
            "telephone_number": "386-310-2160",
            "fax_number": "386-310-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ADVENTHEALTH WAY",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374702",
            "telephone_number": "386-586-4243",
            "fax_number": "386-586-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MEDICINE PROFESSIONALS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "ALDERMAN",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "386-310-3529"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.