Active NPI
Eric Steven Csortan, M.D.
- Emergency Medicine Physician
- Melbourne, FL
National Provider Identifier
1902979693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME84708
- Practice address
- 1350 S. Hickory Street
Melbourne, FL 32901 - Phone
- (321) 254-6218
- Fax
- (321) 254-6230
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME84708 | FL | Primary |
Addresses
Primary practice location
1350 S. Hickory Street
Melbourne, FL 32901
Mailing address
PO Box 361907
Melbourne, FL 32906-1907
Phone (321) 254-6218
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264612900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5589 | OH | MD | Clinical Psychologist |
| ME84708 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JM Holdings of Brevard Inc | Current | Accepting new patients | |
| Brevard Physician Associates, PLLC | Emergency Medicine | Current | Accepting new patients |
| Halifax Healthcare Systems Inc | Emergency Medicine | Past | Accepting new patients |
| Falls Emergency Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
| Chemung Medical Services PC | Emergency Medicine | Past | Accepting new patients |
| Brevard Emergency Services | Emergency Medicine | Past | Accepting new patients |
| Emergency Medicine Professionals PA | Emergency Medicine | Past | Accepting new patients |
| Fort Edward Rescue Squad Inc | Past | Accepting new patients |
Locations
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1698 W Hibiscus Blvd
Ste B
Melbourne, FL 32901
Phone (321) 676-2012
Interoperability endpoints
- eric.csortan.1@32269.direct.athenahealth.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Melbourne, FL
- NPI 1477910149
-
- Anesthesiology Physician
- Melbourne, FL
- NPI 1598008955
Emergency Medicine
-
- Internal Medicine Physician
- Melbourne, FL
- NPI 1104870393
Emergency Medicine
-
- Emergency Medicine Physician
- Deland, FL
- NPI 1205880853
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
Emergency Medicine
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1356378889
Emergency Medicine
-
- Emergency Medicine Physician
- Cuyahoga Falls, OH
- NPI 1295713964
-
- Ambulance
- Fort Edward, NY
- NPI 1427031319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1902979693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 361907",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329061907",
"telephone_number": "321-254-6218",
"fax_number": "321-254-6230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S. HICKORY STREET",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "32901",
"telephone_number": "321-254-6218",
"fax_number": "321-254-6230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CSORTAN",
"first_name": "ERIC",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-17",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME84708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "264612900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.