Clear Mountain Emergency Physicians LLC
Emergency Medicine in Destin, FL. Organization (NPI-2).
NPI number1962850842
StatusActive
Last updated in NPPESAug 3, 2016
Details
- NPI
- 1962850842
- Entity type
- Organization (NPI-2)
- Legal business name
- Clear Mountain Emergency Physicians LLC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2016
- Last updated
- Aug 3, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
996 Airport RdDestin, FL 32541-2824
Phone 469-401-2386
Mailing address
13737 Noel Rd#1600
Dallas, TX 75240-1331
Phone 469-401-2386
Authorized official
Douglas J Smith
Officer
4694012386
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