NPIMap

Organization Active NPI

Emergency Physicians Medical Center, LLC

  • Urgent Care Clinic/Center
  • Gainesville, FL
National Provider Identifier
1861897480
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
ME75334 Issued in FL
Legal business name
EMERGENCY PHYSICIANS MEDICAL CENTER, LLC
Practice address
9181 NW 39TH Ave
Gainesville, FL 32606-7372
Phone
(352) 872-5111
Fax
(352) 872-5121
NPI assigned
Oct 24, 2014
Organization subpart
Yes
Parent organization
EMERGENCY PHYSICIANS MEDICAL CENTER,As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Dr. Steven Lance Yucht, MDNPI 1073606190
Title
Ceo
Phone
(352) 872-5111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X ME75334 FL
Urgent Care Clinic/Center 261QU0200X ME75334 FL Primary

Addresses

Primary practice location

9181 NW 39TH Ave
Gainesville, FL 32606-7372

Mailing address

2445 SW 76TH St
Suite 110
Gainesville, FL 32608-0350
Phone (352) 872-5111

Other names 1

  • EMERGENCY PHYSICIANS MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100607000077 FL Part B Supplier - Clinic/Group Practice 1355471137 Receives reassigned benefits from 14 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gainesville, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2087539Emergency Physicians Medical Center9181 NW 39TH Ave, Gainesville, FL 32606AccreditationApr 7, 2027

National Provider Directory

National Provider Directory
Part of
Emergency Physicians Medical Center LLC

Locations

9181 NW 39th Ave
Gainesville, FL 32606
Phone (352) 872-5111

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1861897480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 SW 76TH ST",
            "address_2": "SUITE 110",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326080350",
            "telephone_number": "352-872-5111",
            "fax_number": "352-872-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9181 NW 39TH AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067372",
            "telephone_number": "352-872-5111",
            "fax_number": "352-872-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY PHYSICIANS MEDICAL CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMERGENCY PHYSICIANS MEDICAL CENTER,",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "YUCHT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LANCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "352-872-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME75334",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "ME75334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMERGENCY PHYSICIANS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.