WATERCANAL ER SVCS PARTNERSHIP LLC
NPI 1073561379
Emergency Medicine in Palm Coast, FL

Active since May 05, 2006
60 MEMORIAL MEDICAL PKWY, PALM COAST, FL 32164(386) 586-2010(386) 676-4248 Get Directions Write a Review

NPPES record last updated: June 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Watercanal Er Svcs Partnership Llc NPPES

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

WATERCANAL ER SVCS PARTNERSHIP LLC (NPI 1073561379) is a healthcare organization registered as an emergency medicine in Palm Coast, Florida and active in the NPI registry since May 2006. The organization lists Joseph H. Gatewood, President, as its authorized official.

NPPES Registry Identity

NPI1073561379
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameWATERCANAL ER SVCS PARTNERSHIP LLC
Location Address60 MEMORIAL MEDICAL PKWYPalm Coast, FL 32164-5980
Mailing Address13737 Noel Rd, Ste 1600Dallas, TX 75240-1331 · (469) 401-2386 · Fax (214) 712-2444
Fax(386) 676-4248
Organization SubpartNo
Authorized OfficialJoseph H. GatewoodPresident · (469) 401-2386
Enumeration DateMay 5, 2006
Last NPPES UpdateJune 20, 2014
NPI 1073561379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
60 MEMORIAL MEDICAL PKWY, Palm Coast, FL 32164

Other Identifiers 4

Medicare PINQ0427FL
Medicaid275953500FL
Other72262FL · Blue Shield
Medicare PINDF4370FL

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Psychiatry & Neurology (Neurology)
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Emergency Medicine
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Emergency Medicine
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Physician Assistant
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Dietitian, Registered
60 MEMORIAL MEDICAL PKWY, FOOD AND NUTRITION DEPARTMENT
PALM COAST, FL 32164
Nurse Practitioner
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164
Nurse Practitioner (Family)
60 MEMORIAL MEDICAL PKWY
PALM COAST, FL 32164

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Watercanal ER Svcs Partnership LLC's NPI number?

The NPI number for Watercanal ER Svcs Partnership LLC is 1073561379. It was assigned to this organization in the NPPES registry on May 5, 2006.

Where is Watercanal ER Svcs Partnership LLC located?

Watercanal ER Svcs Partnership LLC is located at 60 Memorial Medical Pkwy, Palm Coast, FL 32164. The listed phone number is (386) 586-2010.

What is Watercanal ER Svcs Partnership LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Watercanal ER Svcs Partnership LLC was last updated on June 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.