Active NPI
Oscar D Espetia, M.D.
- Emergency Medicine Physician
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME110364
- Practice address
- 2501 North Patterson Street
Valdosta, GA 31602 - Phone
- (229) 333-1000
- Fax
- (229) 249-5098
- NPI assigned
- May 30, 2008
- Last updated
- Mar 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN12330 | FL | |
| Emergency Medicine Physician | 207P00000X | ME110364 | FL | Primary |
| Emergency Medicine Physician | 207P00000X | 065358 | GA |
Addresses
Primary practice location
2501 North Patterson Street
Valdosta, GA 31602
Mailing address
1613 N. Harrison Pkwy
BLDG C Ste 200
Sunrise, FL 33323
Phone (800) 437-2572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN12330 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Sheridan Emergency Physician Services Inc | Emergency Medicine | Current | Accepting new patients |
| Sheridan Emergency Physician Services Inc | Emergency Medicine | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
201 14th St SW
Largo, FL 33770
Phone (727) 588-5222
2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777
6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411
6500 38th Ave N
St Petersburg, FL 33710
Phone (727) 341-4870
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Emergency Medicine Physician
- Jupiter, FL
- NPI 1598748030
-
- Emergency Medicine Physician
- Bushnell, FL
- NPI 1326619727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1740448224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 N. HARRISON PKWY",
"address_2": "BLDG C STE 200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "33323",
"telephone_number": "800-437-2572",
"fax_number": "954-851-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 NORTH PATTERSON STREET",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "31602",
"telephone_number": "229-333-1000",
"fax_number": "229-249-5098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPETIA",
"first_name": "OSCAR",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN12330",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME110364",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "065358",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
- Matthew Taylor Engel, M.D.
- ENT of South Georgia Surgery Center LLC
- John Oluwaseyi Erhabor, MD, MPH
- Eric Anderson MDPC
- Eric J. Thomas (Thomas Foot and Ankle Clinic)
- Ethereal Diagnostics & Services LLC
- James C Eutzler, DO
- Evans Counseling and Consulting LLC (Karen M Evans Sole MBR)
- Joseph Bret Evans
- Karen M Evans
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.