Organization Active NPI

Florida Em-I Medical Services PA

  • Physician Assistant
  • Spring Hill, FL
National Provider Identifier
1902089741
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
FLORIDA EM-I MEDICAL SERVICES PA
Practice address
10461 Quality Dr
Spring Hill, FL 34609-9634
Phone
(352) 688-8200
NPI assigned
Dec 16, 2007
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Terry Meadows, MD
Title
Vice President
Phone
(727) 507-3637

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Nurse Practitioner 363L00000X

Addresses

Primary practice location

10461 Quality Dr
Spring Hill, FL 34609-9634

Mailing address

18167 US Highway 19 N
Suite 285
Clearwater, FL 33764-3528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080530000546 FL Part B Supplier - Clinic/Group Practice 3971417684 Receives reassigned benefits from 39 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coral Springs, FL; Deerfield Beach, FL; Ft Lauderdale, FL

Other NPIs on the same Medicare enrollment 10

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1902089741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18167 US HIGHWAY 19 N",
            "address_2": "SUITE 285",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337643528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10461 QUALITY DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346099634",
            "telephone_number": "352-688-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA EM-I MEDICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-16",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "727-507-3637",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.