OBSERVATION MEDICAL GROUP LLC (NPI# 1467094425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467094425 |
| Entity Type | Organization |
| Organization Name | OBSERVATION MEDICAL GROUP LLC |
| Practice Address |
6901 Simmons Loop Riverview FL 33578-9498 |
| Mailing Address |
Po Box 10855 Daytona Beach FL 32120-0855 |
| Practice Telephone | 8133028000 |
| Mailing Telephone | 3862747800 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | DION RICHARD SAMERSON (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8138745707 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952763682 | Observation Medical Group LLC | Emergency Medicine | 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6307 | 2016-03-22 |
| Street Address |
6901 SIMMONS LOOP |
| City | RIVERVIEW |
| State | FL |
| Zip Code | 33578-9498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114998606 | Kelly Ennix King | Internal Medicine | 6901 Simmons Loop, 4th Floor, Riverview, FL 33578-9498 | 2006-02-01 |
| 1922626316 | Chanin Williams | Nurse Practitioner | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2020-07-11 |
| 1659998672 | Sheena Patel | Anesthesiologist Assistant | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2020-06-26 |
| 1598395279 | Mechele Sanders | Nurse Practitioner | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2020-01-22 |
| 1083264386 | Carmen Valdez | Nurse Practitioner | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2019-09-18 |
| 1194371005 | Austin Traver | Anesthesiologist Assistant | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2019-08-15 |
| 1164084273 | Nathan William Paluch | Anesthesiologist Assistant | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2019-06-28 |
| 1023585932 | Kimberly Havers | Nurse Practitioner | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2018-10-29 |
| 1609379254 | Cathy A Fox | Dietitian, Registered | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2018-03-09 |
| 1962913699 | Pamela J Arroyo | Registered Nurse | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2017-10-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371015 | Carnegie Cares Home Care & Services LLC | In Home Supportive Care | 1004 Rose Petal Place, Riverview, FL 33578 | 2020-09-21 |
| 1437762697 | Learn 2 Speak LLC | Specialist/Technologist | 10310 Granada Green Court, Riverview, FL 33578 | 2020-08-27 |
| 1073138012 | Limitless Therapy, LLC. | Physical Therapist | 8637 Turnstone Shore Lane, Riverview, FL 33578 | 2020-06-16 |
| 1366078032 | Cora Health Services, Inc. | Clinic/Center | 11420 Us Hwy 301 S, Riverview, FL 33578 | 2020-03-13 |
| 1821628561 | Devin Jorge Santiago | Psychiatry & Neurology | 725 Primera Blvd Computer Lab, Lake Mary, FL 33578 | 2020-01-22 |
| 1154963759 | Kenneshia M Martin | Physical Therapy Assistant | 13135 Early Run Lane, Riverview, FL 33578 | 2019-10-15 |
| 1376015180 | Dentists of Riverview, Pa | Dentist | 13123 S. Us Hwy 301, Riverview, FL 33578 | 2018-12-19 |
| 1285102152 | Nothing About You Without You, LLC | Case Management | 10428 Yellow Spice Ct, Riverview, FL 33578 | 2018-11-08 |
| 1053887521 | Natasha Dickens | Counselor | 5523 Legacy Crescent Place, Unit 204, Riverview, FL 33578 | 2018-10-22 |
| 1376025965 | Helaina Dollins | Specialist/Technologist | 3347 Magnolia Springs Drive, Apt 203, Riverview, FL 33578 | 2018-08-30 |
| Find all providers in zip 33578 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477962165 | Kings Peak Emergency Physicians LLC | Emergency Medicine | 12512 Us 301, Riverview, FL 33578 | 2014-08-06 |
| 1619037074 | Abbas Sina | Emergency Medicine | 12012 Boyette Rd., Riverview, FL 33569 | 2006-12-08 |
| 1194126821 | Emergency Medical Associates of Tampa Bay LLC | Emergency Medicine | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2014-09-12 |
| 1841619764 | Colin A Sullivan | Emergency Medicine | 6901 Simmons Loop, Riverview, FL 33578-9498 | 2014-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443965 | Baptist Hospital Inc | Emergency Medicine | 8888 Navarre Pkwy Ste 106, Navarre, FL 32566-3616 | 2020-10-07 |
| 1356958631 | Fg Rapid Results, LLC | Emergency Medicine | 115 Nw 167th St Ste 101, North Miami Beach, FL 33169-6052 | 2020-09-30 |
| 1407472723 | Dispatchhealth-florida Inc. | Emergency Medicine | 5421 Beaumont Center Blvd Ste 660, Tampa, FL 33634-5223 | 2020-06-23 |
| 1083233746 | Shaina Jerome | Emergency Medicine | 21175 Via Eden, Boca Raton, FL 33433-2209 | 2020-04-13 |
| 1003454430 | South Florida Urgent Care Centers, LLC | Emergency Medicine | 1855 N Corporate Lakes Blvd Ste 2, Weston, FL 33326-3274 | 2019-12-17 |
| 1649814054 | Emergency Medicine Professionals Pa | Emergency Medicine | 3120 Howland Blvd, Deltona, FL 32725-2905 | 2019-10-30 |
| 1427690353 | Emergency Physicians Inc | Emergency Medicine | 9868 Family Place, Jacksonville, FL 32222 | 2019-10-11 |
| 1972064491 | Elizabeth Anita Calhoun | Emergency Medicine | Bethesda Hospital East, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-27 |
| 1164983086 | Thomas Rex Peterson | Emergency Medicine | Fau Emergency Medicine, Bethesda Hospital East, Attn: Joanne Daly, 2815 S. Seacrest Blvd., Boynton Beach, FL 33435 | 2019-03-26 |
| 1295290393 | Truepartners Westlake Emergency Specialists Pllc | Emergency Medicine | 16750 Persimmon Blvd, Westlake, FL 33470 | 2019-02-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.