NPIMap

Organization Active NPI

St Luke'S Emergency Care Group LLC

  • Emergency Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1871762013
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
ST LUKE'S EMERGENCY CARE GROUP LLC
Practice address
1 Sleiman Pkwy Ste 210
Jacksonville, FL 32216-8046
Phone
(904) 716-0508
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Authorized official

Name
Katherine Considine, MD
Title
President
Phone
(904) 716-0508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1 Sleiman Pkwy Ste 210
Jacksonville, FL 32216-8046

Mailing address

6700 Collier Road
St. Augustine, FL 32092-2104
Phone (904) 716-0508

Other identifiers 2

IdentifierTypeStateIssuer
280697500MedicaidFL
24319OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

1 Sleiman Pkwy
Ste 210
Jacksonville, FL 32216
Phone (904) 716-0508

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1871762013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 COLLIER ROAD",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "320922104",
            "telephone_number": "904-716-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SLEIMAN PKWY STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168046",
            "telephone_number": "904-716-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE'S EMERGENCY CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "CONSIDINE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-716-0508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280697500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "24319",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.