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EMERGENCY PROVIDERS GROUP LLC
NPI 1164711206
Emergency Medicine in Fort Walton Beach, FL

Active since March 29, 2011
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547(850) 862-1111 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emergency Providers Group Llc NPPES

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

EMERGENCY PROVIDERS GROUP LLC (NPI 1164711206) is a healthcare organization registered as an emergency medicine in Fort Walton Beach, Florida and active in the NPI registry since March 2011. The organization lists Mark Penkhus, Vice President, as its authorized official.

NPPES Registry Identity

NPI1164711206
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameEMERGENCY PROVIDERS GROUP LLC
Location Address1000 MAR WALT DRFort Walton Beach, FL 32547-6708
Mailing AddressPo Box 741630Atlanta, GA 30374-1630
Phone(850) 862-1111
Organization SubpartNo
Authorized OfficialMark PenkhusVice President · (615) 344-9551
Enumeration DateMarch 29, 2011
Last NPPES UpdateApril 29, 2011
✔ NPI 1164711206 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.
1000 MAR WALT DR, Fort Walton Beach, FL 32547
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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 20

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

DEANNA RUTH ANDERSON
Dietitian, Registered
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
DR. JESSICA AMANDA RAMBHAROSE MD
Student in an Organized Health Care Education/Training Program
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 969-4500
MRS. ANDREA M PERSON PA
Physician Assistant
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
ANESTHESIA PHYSICIAN SOLUTIONS OF NORTH FLORIDA, LLC
Anesthesiology
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (954) 939-5000
BRITTANY NICOLE GRIMES FNP-C
Nurse Practitioner
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-8100
DR. MICHAEL C WILLIAMS MD
Emergency Medicine
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 863-7607
DEVON N JERNIGAN PT, DPT
Physical Therapist
1000 MAR WALT DR
FORT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111
FORT WALTON BEACH MEDICAL CENTER, INC.
Rehabilitation Unit
1000 MAR WALT DR
FT WALTON BEACH, FL 32547
Okaloosa County (850) 862-1111

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 Emergency Providers Group LLC's NPI number?

The NPI number for Emergency Providers Group LLC is 1164711206. It was assigned to this organization in the NPPES registry on March 29, 2011.

Where is Emergency Providers Group LLC located?

Emergency Providers Group LLC is located at 1000 Mar Walt Dr, Fort Walton Beach, FL 32547. The listed phone number is (850) 862-1111.

What is Emergency Providers Group 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 Emergency Providers Group LLC was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.