Englewood Medical Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME 46072 Issued in FL

Legal business name

ENGLEWOOD MEDICAL CENTER

Practice address

655 N Indiana Ave
Englewood, FL 34223-2766

Phone

(941) 475-6207

Fax

(941) 475-9801

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles B. Eagar, M.D.

Title

Owner

Phone

(941) 475-6207

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1821169178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 N INDIANA AVE",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342232766",
            "telephone_number": "941-475-6207",
            "fax_number": "941-475-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 N INDIANA AVE",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342232766",
            "telephone_number": "941-475-6207",
            "fax_number": "941-475-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "EAGAR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-475-6207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME 46072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Englewood Community Hospital, Inc.
• Englewood Community Hospital, Inc.
• Englewood Emergency Physicians PA
• Englewood Family Health Care Center Inc
• Englewood Health Care Associates LLC
• Englewood Pain Management LLC
• Englewood Pediatrics, P.a.
• Epc Homecare, LLC
• Barb Ericson
• Derbie Eugene

• Clinic/Center in Englewood, FL
• Providers in Englewood, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.