E & M Medical Services

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS0006902 Issued in FL

Legal business name

E & M MEDICAL SERVICES

Practice address

10383 Hampton Ave
Starke, FL 32091-7843

Phone

(352) 468-1735

Fax

(352) 468-1739

NPI assigned

Jan 24, 2006

Last updated

Mar 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joelle M Innocent-Simon, D.O.

Title

Medical Doctor

Phone

(352) 468-1735

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1942270905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10383 HAMPTON AVE",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320917843",
            "telephone_number": "352-468-1735",
            "fax_number": "352-468-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10383 HAMPTON AVE",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320917843",
            "telephone_number": "352-468-1735",
            "fax_number": "352-468-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & M MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "INNOCENT-SIMON",
        "authorized_official_first_name": "JOELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "352-468-1735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0006902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57355",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250170800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleanor W Devost
• Jenny Maria Dodson, PA-C
• Matthew Douglas, PHARMD
• Kimberly Dudley, BS, MBM, MS
• Durrance Medicaid Providers LLC
• Juantez Renita Ellis
• Emory Medical Corporation (Women's Center of Florida)
• Duane Farr
• Alexis L Ferebee
• Nadine Fiege, DNP, PMHNP-BC

• Family Medicine Physician in Starke, FL
• Providers in Starke, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.