Ruskin Convenient Medical Walk-in

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

ME31419 Issued in FL

Legal business name

RUSKIN CONVENIENT MEDICAL WALK-IN

Practice address

1611 E Shell Point Rd
Ruskin, FL 33570-5087

Phone

(813) 645-9009

Fax

(813) 902-6436

NPI assigned

Jun 1, 2012

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Betty Jo Carter, MD

Title

President

Phone

(813) 645-9009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Convenient Medical Other name

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1023379450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 E SHELL POINT RD",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705087",
            "telephone_number": "813-645-9009",
            "fax_number": "813-902-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 E SHELL POINT RD",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335705087",
            "telephone_number": "813-645-9009",
            "fax_number": "813-902-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSKIN CONVENIENT MEDICAL WALK-IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-645-9009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME31419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065544900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Convenient Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Camila Romero Cherone
• Maria Romero-Flores
• Erica Ross, ARNP
• Ronnette Lashawn Royal
• Katherine M Rubin, ARNP
• Ruskin Family Group Home LLC
• Christine Ryan
• Betty Stevens Rybczynski, PTA
• Sa-PG -Sun City Center LLC (Palm Garden of Sun City Ctr.)
• Tanya Delanie Samuels, DR. LMHC

• Health Service Clinic/Center in Ruskin, FL
• Providers in Ruskin, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.