Active NPI
Wind River Emergency Physicians LLC
- Emergency Medicine Physician
- Hudson, FL
National Provider Identifier
1851700769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- WIND RIVER EMERGENCY PHYSICIANS LLC
- Practice address
- 14000 Fivay Rd
Hudson, FL 34667-7103 - Phone
- (973) 251-1132
- NPI assigned
- Aug 5, 2014
- 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
- Kathy Kondas
- Title
- Officer
- Phone
- (973) 251-1132
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
14000 Fivay Rd
Hudson, FL 34667-7103
Mailing address
13737 Noel Rd
Ste 1600
Dallas, TX 75240-1331
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Tampa, FL
- NPI 1316318033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575504000000",
"number": "1851700769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD",
"address_2": "STE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14000 FIVAY RD",
"city": "HUDSON",
"state": "FL",
"postal_code": "346677103",
"telephone_number": "973-251-1132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WIND RIVER EMERGENCY PHYSICIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-05",
"last_updated": "2019-12-05",
"status": "A",
"authorized_official_last_name": "KONDAS",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "973-251-1132"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.