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Crater Lake Emergency Physicians LLC

Emergency Medicine Physician in Live Oak, FL · enumerated 2021 · authorized official Cynthia Butcher, Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093386443

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Registry record

Entity type Organization (Type 2)
Legal business name Crater Lake Emergency Physicians LLC
Practice address 1100 11th St Sw, Live Oak, FL, 32064
Phone (973) 251-1132
Enumeration date Jul 7, 2021
Last updated in NPPES Jul 7, 2021

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Cynthia Butcher
Title Officer
Phone (973) 251-1132

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-07-07. Verify at npiregistry.cms.hhs.gov.
Where is Crater Lake Emergency Physicians LLC located?
The practice location on file with NPPES is in Live Oak, FL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-07.