COLLIER EMERGENCY SPECIALISTS LLC (NPI# 1669520409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669520409 |
| Entity Type | Organization |
| Organization Name | COLLIER EMERGENCY SPECIALISTS LLC |
| Practice Address |
8300 Collier Blvd Physician's Regional Medical Center - Collier Blvd Naples FL 34114-3549 |
| Mailing Address |
12 Gill St Ste 3000 Woburn MA 01801-1728 |
| Practice Telephone | 2393546000 |
| Mailing Telephone | 7819374522 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | RICHARD G. ABOOD (PRESIDENT) |
| Authorized Official Telephone | 2395933232 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BS | 99345 | 01 |
| FL | 277495000 | 05 |
| Street Address |
8300 COLLIER BLVD PHYSICIAN'S REGIONAL MEDICAL CENTER - COLLIER BLVD |
| City | NAPLES |
| State | FL |
| Zip Code | 34114-3549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651592 | Todd E Carlson | Emergency Medicine | 8300 Collier Blvd, Naples, FL 34114-3549 | 2005-07-05 |
| 1144792045 | Integrated Emergency Medicine Specialists LLC | Emergency Medicine | 8300 Collier Blvd, Naples, FL 34114-3549 | 2018-12-18 |
| 1588156194 | Danielle Martinez | Nurse Practitioner | 8300 Collier Blvd, Naples, FL 34114-3549 | 2018-05-31 |
| 1144778879 | Stewart Shrader | Pharmacist | 8300 Collier Blvd, Naples, FL 34114-3549 | 2016-09-11 |
| 1003265737 | Matthew Sanger | Pharmacist | 8300 Collier Blvd, Naples, FL 34114-3549 | 2016-06-03 |
| 1174991632 | Integrated Emergency Medicine Specialists LLC | Emergency Medicine | 8300 Collier Blvd, Naples, FL 34114-3549 | 2015-09-14 |
| 1376924134 | Jennifer Ann Gerard | General Acute Care Hospital | 8300 Collier Blvd, Naples, FL 34114-3549 | 2015-06-17 |
| 1265813497 | Andrew Rudin | Emergency Medicine | 8300 Collier Blvd, Naples, FL 34114-3549 | 2015-06-12 |
| 1336536440 | Adam Elijah Sienkiewicz | Emergency Medicine | 8300 Collier Blvd, Naples, FL 34114-3549 | 2015-04-16 |
| 1649668989 | Kourtney Marsh | Pharmacist | 8300 Collier Blvd, Naples, FL 34114-3549 | 2015-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164067724 | Ava M Rocks | Pharmacist | 6605 Collier Blvd, Naples, FL 34114 | 2019-11-07 |
| 1154862852 | Chaveli Beltran | Behavior Technician | 9320 Marino Cir Apt 101, Naples, FL 34114 | 2017-03-14 |
| 1831559400 | Juan Hilario Ricard Valdez Sr. | Specialist/Technologist, Other | 2094 Rookery Bay Dr Apt 2805, Naples, FL 34114 | 2016-02-25 |
| 1487028502 | Natura Pharmacy Inc | Pharmacy | 3825 Beck Blvd #701, Naples, FL 34114 | 2015-12-01 |
| 1861773533 | Alexandra Grace | Internal Medicine | 8340 Collier Blvd Ste 201, Naples, FL 34114 | 2011-09-07 |
| 1043453616 | Sarah Jane Deleon Mansson | Internal Medicine | 8340 Collier Blvd Ste 305, Naples, FL 34114 | 2009-04-13 |
| 1336387976 | Judy Farace | Physical Therapist | 140 Eveningstar Cay, Naples, FL 34114 | 2009-02-03 |
| 1316197254 | Martha Doniaz | Massage Therapist | 1825 Tamiami Trai, N, Naples, FL 34114 | 2008-09-29 |
| 1497883698 | Wal-mart Stores East, L.p. | Technician/Technologist | 6650 Collier Blvd., Naples, FL 34114 | 2007-03-01 |
| 1295802445 | Collier Hma Physician Management, Inc | Family Medicine | 8340 Collier Boulevard, Naples, FL 34114 | 2006-11-30 |
| Find all providers in zip 34114 | ||||
| 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 |
|---|---|---|---|---|
| 1396080875 | Thomas Ralph Layton | Emergency Medicine | 957 8th St S, Naples, FL 34102-8214 | 2012-12-10 |
| 1083891360 | Robert Boyd Tober Inc | Emergency Medicine | Bentley Village Care Center, 875 Retreat Drive, Naples, FL 34110 | 2008-01-29 |
| 1033218821 | Arles Perdomo | Emergency Medicine | 5240 Golden Gate Pkwy, Naples, FL 34116-7670 | 2006-09-21 |
| 1477651503 | Jeffrey J Herrberg | Emergency Medicine | 1009 Crosspointe Dr, Suite 2, Naples, FL 34110 | 2006-09-20 |
| 1093813669 | Jeffrey Michael Rosenfield | Emergency Medicine | 13030 Livingston Road, Suite 3, Naples, FL 34105 | 2006-09-20 |
| 1689786006 | Helen Thornburg | Emergency Medicine | 6017 Pine Ridge Rd Ste 148, Naples, FL 34119-3956 | 2006-08-31 |
| 1184669582 | Karl K Korri | Emergency Medicine | 801 Vanderbilt Beach Rd, Naples, FL 34108-8708 | 2006-06-19 |
| 1649213786 | Steven A West | Emergency Medicine | 2157 Pine Ridge Rd, Naples, FL 34109-2033 | 2006-06-14 |
| 1720021645 | Raoul George Farhat | Emergency Medicine | 1713 Sw Health Pkwy, Suite 1, Naples, FL 34109-0421 | 2006-06-14 |
| 1073567186 | Jack Derovanesian | Emergency Medicine | 6400 Davis Blvd Ste 103, Naples, FL 34104-5321 | 2006-05-22 |
| Find all providers in NAPLES | ||||
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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.