MEDICARE: CATHEDRAL PEAK EMERGENCY PHYSICIANS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598336935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHEDRAL PEAK EMERGENCY PHYSICIANS LLC

Provider Business Mailing Address
First Line	:	5565 CENTERVIEW DR STE 107
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27606-3563
Country	:	US
Telephone Number	:	973-251-1132
Fax Number	:

Provider Business Practice Location Address
First Line	:	3711 N HIGHWAY 231
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32404-9745
Country	:	US
Telephone Number	:	973-251-1132
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	CYNTHIA BUTCHER
Credential	:
Telephone Number	:	973-251-1132

Provider Enumeration Date	:	07/07/2021
Last Update Date	:	07/07/2021

Similar Medicare Providers

1174199053 — INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
Practice Location Address:

3711 N HIGHWAY 231
PANAMA CITY, FL
32404-9745

Practice Phone: 850-769-8341
Practice Fax:

1427629781 — FL-I MEDICAL SERVICES, LLC
Practice Location Address:

3711 N HIGHWAY 231
PANAMA CITY, FL
32404-9745

Practice Phone: 973-251-1132
Practice Fax:

1316886807 — BAY HOSPITAL, INC.
Practice Location Address:

3711 N HIGHWAY 231
PANAMA CITY, FL
32404-9745

Practice Phone: 850-772-6200
Practice Fax:

1063630424 — MS. LEANDRE M TANKERSLEY MT
Practice Location Address:

3710 STATE ROUTE 668 S
JUNCTION CITY, OH
43748-9745

Practice Phone: 740-987-2053
Practice Fax: 740-987-2053

1437428398 — ADVANCED PROVIDER SERVICES, P.C.
Practice Location Address:

203 E MARKET ST
BATES CITY, MO
64011-9745

Practice Phone: 816-896-0416
Practice Fax: 816-690-3147

1508305475 — MS. DAWN MARIE IRWIN
Practice Location Address:

1145 CHIPPAWA DR
UNION CITY, MI
49094-9745

Practice Phone: 517-617-3905
Practice Fax:

Directions to “CATHEDRAL PEAK EMERGENCY PHYSICIANS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.