Active NPI
Frederick B Epstein, M.D.
- Emergency Medicine Physician
- Lynn Haven, FL
National Provider Identifier
1760480206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME44447
- 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, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94361 | Other | FL | BCBSF GRP# 98513 |
| 069269700 | Medicaid | FL | |
| 606478700 | Other | FL | DOL GRP# |
| ME44447 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Coral Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| City Circle ER SVCS Partnership LLC | Emergency Medicine | Past | Accepting new patients |
| Bay Emergency Physician Specialists Inc | Emergency Medicine | Past | 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.
-
- Emergency Medicine Physician
- Cape Coral, FL
- NPI 1376611962
-
dba Bay Hyperbaric Physicians
- Emergency Medicine Physician
- Panama City, FL
- NPI 1376521757
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1144279357
-
- Emergency Medicine Physician
- Sebring, FL
- NPI 1841465101
-
- Emergency Medicine Physician
- Sarasota, FL
- NPI 1831175306
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.