MD Primary Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MD PRIMARY CARE INC

Practice address

2215 Nebraska Ave Ste 2-B
Fort Pierce, FL 34950-4866

Phone

(772) 302-3767

Fax

(888) 436-7197

NPI assigned

Aug 23, 2019

Last updated

Aug 23, 2019By 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. Chintan B Shah, MDNPI 1871782268

Title

Ceo

Phone

(619) 398-6333

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BDGDCD

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chintan B Shah, MD

  • Family Medicine Physician
  • Fort Pierce, FL
  • NPI 1871782268
  Medicare reassignment NPD Authorized official
• Meredith Cronenwett, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Jensen Beach, FL
  • NPI 1427543685
  Medicare reassignment NPD
• Jessica Jeanlouis

  • Nurse Practitioner
  • Port Saint Lucie, FL
  • NPI 1982216743
  Medicare reassignment NPD
• Sherise Melanie Stark, APRN

  • Family Nurse Practitioner
  • Sebastian, FL
  • NPI 1669022505
  Medicare reassignment NPD

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1033766027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8113 KIAWAH TRCE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863026",
            "telephone_number": "619-398-6333",
            "fax_number": "888-436-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE STE 2-B",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504866",
            "telephone_number": "772-302-3767",
            "fax_number": "888-436-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "CHINTAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-398-6333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill McNeight
• Gloria Elaine McNeil, M.D.
• John Michael McSween, M.S.N., NP-C
• MD Hospital Care Inc
• MD Hospital Care Inc
• Rochelle M Mead, P. T.
• Dolores Mede, CEO
• Mackenzie Leigh Medeck
• Samantha Ashley Meder, PA-C
• Medical Impressions LLC

• Family Medicine Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.