Crestside Emergency Physicians, LLC
Crestside Emergency Physicians, LLC is a healthcare organization registered as Emergency Medicine Physician in Englewood, FL, holding Type 2 (organization) NPI 1003169996 since 2012. The authorized official on file is Joseph Gatewood, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1003169996 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Crestside Emergency Physicians, LLC |
| Practice address | 700 MEDICAL BLVD, Englewood, FL, 34223 |
| Phone | 9414756571 |
| Enumeration date | 2012-10-17 |
| Last updated in NPPES | 2013-07-05 |
Authorized official
| Name | Joseph Gatewood |
|---|---|
| Title | President |
| Phone | 7275072513 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Crestside Emergency Physicians, LLC NPI: 1003169996 Taxonomy: 207P00000X (Emergency Medicine Physician) Address: 700 MEDICAL BLVD, Englewood, FL, 34223
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124021316 | Englewood Emergency Physicians PA | Organization | Emergency Medicine Physician | Englewood, FL |
| 1235132101 | David Schenck | Individual | Emergency Medicine Physician | Englewood, FL |
| 1659375020 | Andrew Eisenberg | Individual | Emergency Medicine Physician | Englewood, FL |
| 1790784932 | Kathleen Russo | Individual | Family Nurse Practitioner | Englewood, FL |
| 1417922907 | Raul Verde | Individual | Specialist | Englewood, FL |
| 1639122864 | Englewood Community Hospital, Inc. | Organization | General Acute Care Hospital | Englewood, FL |
| 1508810599 | Englewood Community Hospital, Inc. | Organization | Medicare Defined Swing Bed Hospital Unit | Englewood, FL |
| 1487685343 | James Wade | Individual | Anesthesiology Physician | Englewood, FL |
Verify this record
Cross-check NPI 1003169996 against the authoritative CMS record: view Crestside Emergency Physicians, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Crestside Emergency Physicians, LLC?
Who is the authorized official for Crestside Emergency Physicians, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-07-05.