FIVEMILE CREEK EMERGENCY PHYSICIANS, LLC
NPI 1245503085
Emergency Medicine in Fort Pierce, FL

Active since February 09, 2012
1700 S 23RD ST, FORT PIERCE, FL 34950(772) 468-4551 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 22, 2020, Aug 25, 2019 (2 updates tracked since 2019).

  • Organization
  • Emergency Medicine

About FIVEMILE CREEK EMERGENCY PHYSICIANS, LLC

This page provides the complete NPI Profile along with additional information for Fivemile Creek Emergency Physicians, Llc, a provider established in Fort Pierce, Florida operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1245503085 assigned on February 2012. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Fivemile Creek Emergency Physicians, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kathleen Kondas (Officer)

NPI
1245503085 Verify this NPI
Provider Name
FIVEMILE CREEK EMERGENCY PHYSICIANS, LLC
Entity Type
Organization
Location Address
1700 S 23RD ST FORT PIERCE, FL 34950
Location Phone
(772) 468-4551
Mailing Address
13737 NOEL RD STE 1600 DALLAS, TX 75240
Mailing Phone
(954) 838-2371
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-09-2012
Last Update Date
12-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHLEEN KONDAS

Authorized Official Title
OFFICER
Authorized Official Phone
(973) 251-1132

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Neonatal)
1700 S 23RD ST
FORT PIERCE, FL 34950
Nurse Practitioner (Neonatal)
1700 S 23RD ST
FORT PIERCE, FL 34950
Anesthesiology
1700 S 23RD ST, LAWNWOOD REGINAL MEDICAL CENTER
FORT PIERCE, FL 34950
Emergency Medicine
1700 S 23RD ST
FORT PIERCE, FL 34950
Emergency Medicine
1700 S 23RD ST
FORT PIERCE, FL 34950
Physician Assistant (Surgical)
1700 S 23RD ST
FORT PIERCE, FL 34950
Emergency Medicine
1700 S 23RD ST
FORT PIERCE, FL 34950
Physician Assistant
1700 S 23RD ST
FORT PIERCE, FL 34950
Anesthesiology
1700 S 23RD ST
FORT PIERCE, FL 34950
Nurse Anesthetist, Certified Registered
1700 S 23RD ST
FORT PIERCE, FL 34950
Physician Assistant
1700 S 23RD ST
FORT PIERCE, FL 34950
Pediatrics
1700 S 23RD ST
FORT PIERCE, FL 34950
Pediatrics
1700 S 23RD ST
FORT PIERCE, FL 34950
Emergency Medicine
1700 S 23RD ST, LAWNWOOD REGIONAL MEDICAL CENTER
FORT PIERCE, FL 34950
Nurse Practitioner (Family)
1700 S 23RD ST
FORT PIERCE, FL 34950
Anesthesiology
1700 S 23RD ST
FORT PIERCE, FL 34950
Radiology (Diagnostic Radiology)
1700 S 23RD ST
FORT PIERCE, FL 34950
Nurse Practitioner
1700 S 23RD ST
FORT PIERCE, FL 34950
Ophthalmology
1700 S 23RD ST
FORT PIERCE, FL 34950
Emergency Medicine
1700 S 23RD ST
FORT PIERCE, FL 34950

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245503085, enumerated as an "organization" on February 09, 2012.

The provider is located at 1700 S 23RD ST FORT PIERCE, FL 34950 and the phone number is (772) 468-4551.

Emergency Medicine with taxonomy code 207P00000X.