LAKE OLIVER EMERGENCY GROUP, LLC
NPI 1013675016
Emergency Medicine in Tallahassee, FL

Q: What is Lake Oliver Emergency Group, LLC's NPI number?

The NPI number for Lake Oliver Emergency Group, LLC is 1013675016. It was assigned to this organization in the NPPES registry on December 7, 2021.

Q: What is Lake Oliver Emergency Group, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since December 07, 2021

2626 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308(850) 325-5000(850) 656-5198 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 27, 2022, Jan 5, 2022, Dec 8, 2021 (3 updates tracked since 2021).

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About Lake Oliver Emergency Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE OLIVER EMERGENCY GROUP, LLC (NPI 1013675016) is a healthcare organization registered as an emergency medicine in Tallahassee, Florida and active in the NPI registry since December 2021. The organization lists Lisha C Falk, Vp Of Contracting, as its authorized official.

NPPES Registry Identity

NPI1013675016

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameLAKE OLIVER EMERGENCY GROUP, LLC

Location Address2626 CAPITAL MEDICAL BLVDTallahassee, FL 32308-4402

Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698

Phone(850) 325-5000

Fax(850) 656-5198

Organization SubpartNo

Authorized OfficialLisha C FalkVp Of Contracting · (337) 609-1221

Enumeration DateDecember 7, 2021

Last NPPES UpdateSeptember 27, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2022

✔ NPI 1013675016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

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.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

2626 CAPITAL MEDICAL BLVD, Tallahassee, FL 32308

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lake Oliver Emergency Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 81 clinicians reassign Medicare billing to Lake Oliver Emergency Group, LLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Emergency Medicine49

Nurse Practitioner25

Family Practice6

Internal Medicine1

Nearest to this location (20)

See all 81

Dayanis Acosta, D.O.

Emergency Medicine

NPI 1710379920