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CRATER LAKE EMERGENCY PHYSICIANS LLC
NPI 1093386443
Emergency Medicine in Live Oak, FL

Active since July 07, 2021
1100 11TH ST SW, LIVE OAK, FL 32064(973) 251-1132 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crater Lake Emergency Physicians Llc NPPES

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

CRATER LAKE EMERGENCY PHYSICIANS LLC (NPI 1093386443) is a healthcare organization registered as an emergency medicine in Live Oak, Florida and active in the NPI registry since July 2021. The organization lists Cynthia Butcher, Officer, as its authorized official.

NPPES Registry Identity

NPI1093386443
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameCRATER LAKE EMERGENCY PHYSICIANS LLC
Location Address1100 11TH ST SWLive Oak, FL 32064-3608
Mailing Address5565 Centerview Dr Ste 107Raleigh, NC 27606-3563 · (973) 251-1132
Phone(973) 251-1132
Organization SubpartNo
Authorized OfficialCynthia ButcherOfficer · (973) 251-1132
Enumeration DateJuly 7, 2021
NPPES CertifiedJuly 7, 2021
✔ NPI 1093386443 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.
1100 11TH ST SW, Live Oak, FL 32064
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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

Other Providers at the Same Location NPPES 17

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

FL-I MEDICAL SERVICES, LLC
Emergency Medicine
1100 11TH ST SW
LIVE OAK, FL 32064
Suwannee County (973) 251-1132
MR. FREDERICK SANDERS RPH, CPH
Pharmacist
1100 11TH ST SW
LIVE OAK, FL 32064
Suwannee County (386) 362-0845
KRISTINA MELISSA NORTH APRN
Nurse Practitioner (Family)
1100 11TH ST SW
LIVE OAK, FL 32064
Suwannee County (386) 362-0800
DR. STEVEN P. HOLLIMAN M.D.
Emergency Medicine
1100 11TH ST SW
LIVE OAK, FL 32064
Suwannee County (386) 362-0800
DR. ERIN RAND BUZZELLA M.D.
Emergency Medicine
1100 11TH ST SW
LIVE OAK, FL 32064
Suwannee County (386) 362-1413
RYAN HILLMAN REYNOLDS NP
Nurse Practitioner
1100 11TH ST SW
LIVE OAK, FL 32064
Suwannee County (386) 362-0800
LIVE OAK HMA, LLC
General Acute Care Hospital (Critical Access)
1100 11TH ST SW
LIVE OAK, FL 32064
Suwannee County (386) 362-0800
CHERIE DONLEY RICHEY PHARM D
Pharmacist
1100 11TH ST SW
LIVE OAK, FL 32064
Suwannee County (386) 339-6263

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 Crater Lake Emergency Physicians LLC's NPI number?

The NPI number for Crater Lake Emergency Physicians LLC is 1093386443. It was assigned to this organization in the NPPES registry on July 7, 2021.

Where is Crater Lake Emergency Physicians LLC located?

Crater Lake Emergency Physicians LLC is located at 1100 11th St SW, Live Oak, FL 32064. The listed phone number is (973) 251-1132.

What is Crater Lake Emergency Physicians 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 Crater Lake Emergency Physicians LLC was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.