FC EMERGENCY PHYSICIANS LLC (NPI# 1871776872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871776872 |
| Entity Type | Organization |
| Organization Name | FC EMERGENCY PHYSICIANS LLC |
| Practice Address |
17240 Cortez Blvd Brooksville FL 34601 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 3527965111 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2013-12-24 |
| Authorized Official Name | JOSEPH GATEWOOD (PRESIDENT) |
| Authorized Official Telephone | 4694012386 |
| 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 | 280632100 | 05 | |
| FL | BLUE SHIELD | 21670 | 01 |
| Street Address |
17240 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721496 | Rafael De La Riva | Anesthesiology | 17240 Cortez Blvd, Brooksville, FL 34601-8978 | 2005-09-22 |
| 1770100349 | Hernando Hma LLC | Medicare Defined Swing Bed Unit | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2020-06-30 |
| 1699281881 | Jowell Monroe Hearn Iv | Registered Nurse | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2017-12-25 |
| 1912449976 | W4p LLC | Emergency Medicine | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2016-11-08 |
| 1881054047 | Indian River Emergency Group, LLC | Emergency Medicine | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2016-03-02 |
| 1598138315 | Viking Emergency Physicians, LLC | Physician Assistant | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2015-11-02 |
| 1265804173 | Anemone Emergency Physicians, LLC | Physician Assistant | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2015-10-30 |
| 1649640665 | Mary Anne Flowers | Dietitian, Registered | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2015-10-02 |
| 1295122786 | Jayar Banez | Clinical Nurse Specialist | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2015-04-22 |
| 1922494962 | Franklin Albright Poff IIi | Emergency Medicine | 17240 Cortez Blvd, Brooksville, FL 34601 | 2015-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526643 | Benzer Fl 39 LLC | Pharmacy | 80 Ponca De Leon Blvd, Brooksville, FL 34601 | 2020-04-03 |
| 1245868702 | Karon Elaine Stagg | Specialist/Technologist | 20158 Cortez Blvb, Brookesville, FL 34601 | 2020-03-31 |
| 1699253666 | Shedding Light Counseling 'llc' | Counselor | 24059 Cortez Blvd, Brooksville, FL 34601 | 2018-08-01 |
| 1265952162 | Tysheeca Deandrea Washington | Assistant Behavior Analyst | 1535 Greenbriar Villa Circle, Brooksville, FL 34601 | 2017-06-21 |
| 1386179836 | Andrew Bishay | Emergency Medical Technician, Intermediate | 7284 Broad St, Brooksville, FL 34601 | 2017-04-21 |
| 1265892152 | Ralph Vitola | Pharmacist | 218 S. Broad St., Brooksville, FL 34601 | 2016-03-04 |
| 1689018301 | Nic 4 The Grande Leasing LLC | Assisted Living Facility | 725 Desoto Avenue, Brooksville, FL 34601 | 2013-04-24 |
| 1023301496 | Gerald Warren Springstead | Dentist | 605 W. Jefferson St., Brooksville, FL 34601 | 2011-05-18 |
| 1417280330 | Growing Center Counseling | Counselor | 275 W. Jefferson St., Brooksville, FL 34601 | 2009-09-10 |
| 1073663118 | Jennifer Suiters | Social Worker | 706 Ponce De Leon Blvd, Brooksville, FL 34601 | 2007-01-11 |
| Find all providers in zip 34601 | ||||
| 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 |
|---|---|---|---|---|
| 1609361500 | Jonathan Yaghoubian | Emergency Medicine | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2018-06-25 |
| 1912449976 | W4p LLC | Emergency Medicine | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2016-11-08 |
| 1366806382 | Jonas Isaac Pologe | Emergency Medicine | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2016-04-06 |
| 1881054047 | Indian River Emergency Group, LLC | Emergency Medicine | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2016-03-02 |
| 1922494962 | Franklin Albright Poff IIi | Emergency Medicine | 17240 Cortez Blvd, Brooksville, FL 34601 | 2015-04-07 |
| 1518374883 | Rey Yamil Pagan-rivera | Emergency Medicine | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2014-07-17 |
| 1386909406 | Vesta Anilus | Emergency Medicine | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2012-07-05 |
| 1518233444 | Angenette Purcell Rashad | Emergency Medicine | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2012-03-26 |
| 1265753032 | Alok Aroonkumar Beecum | Emergency Medicine | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | 2010-06-16 |
| 1861407447 | Barry Van Barrows | Emergency Medicine | 12220 Cortez Blvd, Brooksville, FL 34613-2631 | 2006-07-30 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34601 |
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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.