OrganizationActive
Big Water Emergency Physicians, LLC
NPI 1902171119 · Emergency Medicine Physician · Okeechobee, FL
Provider details
- NPI number
- 1902171119
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kathleen Kondas, Officer(973) 251-1132
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1796 US Highway 441 N
Okeechobee, FL 34972-1918
Phone: (973) 251-1132
Street-level locationGet directions
Mailing address
Po Box 37872
Philadelphia, PA 19101-0172
Registry dates
- Enumerated
- 2012-03-21
- Last updated
- 2019-12-09
- Certified
- 2019-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.