Timucua Emergency Physicians, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

TIMUCUA EMERGENCY PHYSICIANS, LLC

Practice address

8300 Red Bug Lake Road
Oviedo, FL 32765

Phone

(800) 507-8874

NPI assigned

Jul 30, 2013

Last updated

Sep 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Gatewood, M.D.

Title

President

Phone

(800) 507-8874

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristen Marie Grider, PA-C

  • Medical Physician Assistant
  • Sanford, FL
  • NPI 1083938120
  NPD (past)
• Elizabeth Sheridan, PAC

  • Physician Assistant
  • La Place, LA
  • NPI 1669527404
  NPD (past)

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1811339047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37743",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191015043",
            "telephone_number": "800-507-8874",
            "fax_number": "727-536-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 RED BUG LAKE ROAD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "32765",
            "telephone_number": "800-507-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMUCUA EMERGENCY PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "GATEWOOD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-507-8874",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Josephine Thompson, PSY.D.
• Heather Thompson, RPH
• Thrive Medical, LLC
• Tim D Chapman DC PA (Seminole Chiropractic Medicine)
• Timothy P Mason DPM PA (Foot and Ankle Specialists of Orlando)
• TLC Rehab, LLC
• Cindy Tobon
• Tonya Tolan, RN
• Danielle Tom, PA
• Ashley Tomassetti, BCBA

• Emergency Medicine Physician in Oviedo, FL
• Providers in Oviedo, 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 11, 2013; 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.