WIND RIVER EMERGENCY PHYSICIANS LLC (NPI# 1851700769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851700769 |
| Entity Type | Organization |
| Organization Name | WIND RIVER EMERGENCY PHYSICIANS LLC |
| Practice Address |
14000 Fivay Rd Hudson FL 34667-7103 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 9732511132 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2019-12-05 |
| Authorized Official Name | KATHY KONDAS (OFFICER) |
| Authorized Official Telephone | 9732511132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
14000 FIVAY RD |
| City | HUDSON |
| State | FL |
| Zip Code | 34667-7103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376512319 | Candace Koney-laryea | Anesthesiology | 14000 Fivay Rd, Hudson, FL 34667 | 2006-03-14 |
| 1265039820 | Carthia Joachim | Nurse Practitioner | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-10-07 |
| 1245844604 | Margaret Rose Little | Anesthesiologist Assistant | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-09-03 |
| 1679185003 | Neurepair Brain and Spine Wellness Centers | Clinic/Center | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-08-18 |
| 1689283004 | Joseph Gerald Glanton | Anesthesiologist Assistant | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-07-31 |
| 1528680956 | Jessica Jocelyn Chan | Pharmacist | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-05-07 |
| 1972122877 | Aaron Pingel | Anesthesiologist Assistant | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-04-10 |
| 1407485071 | Stamati Damalos | Student in an Organized Health Care Education/Training Program | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-04-06 |
| 1265061717 | David Abergel | Student in an Organized Health Care Education/Training Program | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-04-06 |
| 1780213207 | Aaron Benjamin Turk | Student in an Organized Health Care Education/Training Program | 14000 Fivay Rd, Hudson, FL 34667-7103 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417571431 | Andrea E Steyer | Speech-Language Pathologist | 7927 Sr-52 W, Hudson, FL 34667 | 2020-06-05 |
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1104308329 | Mark Felix Roldan | Nurse Practitioner | 13944 Lakeshore Blvd Ste C, Hudson, FL 34667 | 2018-09-04 |
| 1285181867 | Dawnlee Basile-wood | Counselor | 9416 Dibot Court, Hudson, FL 34667 | 2016-09-01 |
| 1679951321 | Joseph Robbins | Internal Medicine | 14000 Fivay Road, Hudson, FL 34667 | 2015-05-14 |
| 1043602733 | Martiale Faustin | Registered Nurse | 12715 Clock Tower Pkwy, Hudson, FL 34667 | 2015-03-04 |
| 1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
| 1891093365 | Saxon Rehab Management LLC. | Occupational Therapist | 12404 Cobblestone Dr, Hudson, FL 34667 | 2011-03-08 |
| 1174768055 | Anthony Charles Stover | Behavioral Analyst | 14610 Conner Drive, Hudson, FL 34667 | 2008-12-08 |
| 1356594451 | Jill Bona Garcia | Speech-Language Pathologist | 11820 Denton Ave, Hudson, FL 34667 | 2008-11-03 |
| Find all providers in zip 34667 | ||||
| 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 |
|---|---|---|---|---|
| 1760956288 | Helen Edith Yaworski | Emergency Medicine | Bayonet Point Emergency Department, 14000 Fivay Rd, Hudson, FL 34667 | 2019-01-17 |
| 1821514761 | Roger Hart L'hommedieu Jr. | Emergency Medicine | 7341 Lacosta Dr, Hudson, OH 44236-1804 | 2017-08-22 |
| 1629369905 | Michael Vincent Marquard | Emergency Medicine | 5641 Abbyshire Dr, Hudson, OH 44236-2683 | 2011-04-21 |
| 1700115250 | Mark Lawrence Feldman | Emergency Medicine | 21 Par Ln, Hudson, NH 03051-5215 | 2009-12-11 |
| 1295069870 | Thaddeus Malak | Emergency Medicine | 64 N 5th St # 2, Hudson, NY 12534-1722 | 2009-09-29 |
| 1982830774 | Amanda Mason | Emergency Medicine | 5700 Darrow Rd Suite 106, Hudson, OH 44236 | 2009-06-08 |
| 1063628600 | Tara Reilly | Emergency Medicine | 7777 Alexandra Dr, Hudson, OH 44236-4523 | 2007-05-14 |
| 1639116882 | Sadi D Dalieh | Emergency Medicine | 1322 Haymarket Way, Hudson, OH 44236-4604 | 2006-05-31 |
| 1700886546 | Rao Kilaru | Emergency Medicine | 5700 Darrow Rd Ste 106, University Emergency Specialists Inc, Hudson, OH 44236-5026 | 2005-07-22 |
| 1962405019 | Anwar Hamami | Emergency Medicine | 5700 Darrow Rd, Suite 106, Hudson, OH 44236 | 2005-05-23 |
| Find all providers in HUDSON | ||||
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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.