CRATER LAKE EMERGENCY PHYSICIANS LLC – NPI #1093386443
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.

CRATER LAKE EMERGENCY PHYSICIANS LLC is a provider located in LIVE OAK, FL. NPPES has assigned the NPI number 1093386443 to CRATER LAKE EMERGENCY PHYSICIANS LLC on July 07, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CRATER LAKE EMERGENCY PHYSICIANS LLC below.

NPI Profile for
CRATER LAKE EMERGENCY PHYSICIANS LLC

NPI Number
1093386443
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CRATER LAKE EMERGENCY PHYSICIANS LLC
Primary location
1100 11TH ST SW
LIVE OAK, FL 32064-3608
Phone: (973) 251-1132 Fax:
Mailing address
5565 CENTERVIEW DR STE 107
RALEIGH, NC 27606-3563
Phone: (973) 251-1132 Fax:
Organization Subpart
No
Authorized Official
CYNTHIA BUTCHER
OFFICER
Phone: (973) 251-1132
Updated
Certification Date
Jul 07, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.