EMERALD COAST NEONATOLOGY PA – NPI #1285726091
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

EMERALD COAST NEONATOLOGY PA is a provider located in MARIANNA, FL. NPPES has assigned the NPI number 1285726091 to EMERALD COAST NEONATOLOGY PA on September 29, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was previously updated about 17 years ago on Jan 22, 2009. 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 EMERALD COAST NEONATOLOGY PA below.

NPI Profile for
EMERALD COAST NEONATOLOGY PA

NPI Number
1285726091
Enumeration Date

(more than 19 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
EMERALD COAST NEONATOLOGY PA
Primary location
4250 HOSPITAL DRIVE
MARIANNA, FL 32446
Phone: (850) 265-9332 Fax: (850) 784-7706
Mailing address
PO BOX 15789
PANAMA CITY, FL 32406
Phone: (850) 265-9332 Fax: (850) 784-7706
Organization Subpart
No
Authorized Official
DOUGLAS SPRAGUE
PRESIDENT
Phone: (850) 265-9332
Updated
Identifiers

Identifiers for EMERALD COAST NEONATOLOGY PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS FLORIDAFL45706
MEDICAIDFL260912600
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
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (Primary)
FL ME66820

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.