North Port Primary Care Association PL

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME95735 Issued in FL

Legal business name

NORTH PORT PRIMARY CARE ASSOCIATION PL

Practice address

2500 Bobcat Village Center Rd Unit E
North Port, FL 34288-8476

Phone

(941) 429-4744

Fax

(941) 429-5754

NPI assigned

Apr 26, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Girish D Patel, MDNPI 1447314190

Title

Owner

Phone

(941) 429-4744

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Girish D. Patel, MD

  • Internal Medicine Physician
  • North Port, FL
  • NPI 1447314190
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1003133455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7825",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342900825",
            "telephone_number": "941-429-4744",
            "fax_number": "941-429-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 BOBCAT VILLAGE CENTER RD UNIT E",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888476",
            "telephone_number": "941-429-4744",
            "fax_number": "941-429-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PORT PRIMARY CARE ASSOCIATION PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "GIRISH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-429-4744",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME95735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Port Oral Surgery Inc.
• North Port Pharmacy Inc
• North Port Pines Retirement Centers, Inc.
• North Port Podiatry Center PA
• North Port Podiatry Center PA
• North Port Rehab, LLC
• North Port Retirement Center, Inc.
• North Port Smiles LLC
• North Port Womens Care LLC
• Northern Medical and Holistic Center Corp

• Internal Medicine Physician in North Port, FL
• Providers in North Port, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.