Active NPI
Jacksonville Emergency Consultants,PA
- Emergency Medicine Physician
- Orange Park, FL
National Provider Identifier
1831184852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- JACKSONVILLE EMERGENCY CONSULTANTS,PA
- Practice address
- 2001 Kingsley Ave
Orange Park, FL 32073-5148 - Phone
- (904) 276-8500
- NPI assigned
- Sep 15, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ray Gyarmathy, MD
- Title
- President
- Phone
- (904) 641-6628
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
2001 Kingsley Ave
Orange Park, FL 32073-5148
Mailing address
PO Box 860554
Orlando, FL 32886-0554
Phone (904) 641-6628
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99199B | Other | FL | BCBS GROUP |
| 057630102 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307491200000",
"number": "1831184852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860554",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328860554",
"telephone_number": "904-641-6628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 KINGSLEY AVE",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735148",
"telephone_number": "904-276-8500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSONVILLE EMERGENCY CONSULTANTS,PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-15",
"last_updated": "2011-06-08",
"status": "A",
"authorized_official_last_name": "GYARMATHY",
"authorized_official_first_name": "RAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-641-6628",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "99199B",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "057630102",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.