Individual provider Active NPI

Frederick B Epstein, M.D.

  • Emergency Medicine Physician
  • Lynn Haven, FL
National Provider Identifier
1760480206
Registry record updated Sep 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME44447 Issued in FL
Practice address
1326 Country Club Dr
Lynn Haven, FL 32444-1974
Phone
(850) 265-1769
Fax
(850) 265-1769
NPI assigned
Jul 8, 2005
Last updated
Sep 2, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME44447 FL Primary

Addresses

Primary practice location

1326 Country Club Dr
Lynn Haven, FL 32444-1974

Mailing address

1326 Country Club Dr
Lynn Haven, FL 32444-1974
Phone (850) 265-1769

Other identifiers 4

IdentifierTypeStateIssuer
94361OtherFLBCBSF GRP# 98513
069269700MedicaidFL
606478700OtherFLDOL GRP#
ME44447OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050217000837 FL Practitioner - Emergency Medicine 9830099647 Reassigns benefits to 1 organization
I20110715000306 AL Practitioner - Emergency Medicine 9830099647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Coral Emergency Physicians LLC Emergency Medicine CurrentSince Dec 18, 2011 Accepting new patients
City Circle ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Bay Emergency Physician Specialists Inc Emergency Medicine PastSince Aug 1, 1985 Accepting new patients
Sarasota Emergency Associates PA Emergency Medicine Past Accepting new patients
Harder Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1760480206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 COUNTRY CLUB DR",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324441974",
            "telephone_number": "850-265-1769",
            "fax_number": "850-265-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 COUNTRY CLUB DR",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324441974",
            "telephone_number": "850-265-1769",
            "fax_number": "850-265-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "FREDERICK",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME44447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF GRP# 98513",
            "identifier": "94361",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069269700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL GRP#",
            "identifier": "606478700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME44447",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn Haven, FL

Sources for this page

Verify at the official NPI Registry.