NPIMap

Organization Active NPI

Family Medical Center of Port Richey in

  • Family Medicine Physician
  • Port Richey, FL
National Provider Identifier
1043633266
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICAL CENTER OF PORT RICHEY IN
Practice address
10806 US Highway 19 Ste 102a
Port Richey, FL 34668-2582
Phone
(727) 861-7043
Fax
(727) 861-7382
NPI assigned
Jan 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Adam GreenfieldNPI 1225126519
Title
President
Phone
(727) 861-7043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10806 US Highway 19 Ste 102a
Port Richey, FL 34668-2582

Mailing address

10806 US Highway 19 Ste 102a
Port Richey, FL 34668-2582
Phone (727) 861-7043

National Provider Directory

National Provider Directory
Tax ID family
Family Medical Center of Port Richey2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10806 US Highway 19
Ste 102A
Port Richey, FL 34668
Phone (727) 819-1501

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1043633266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10806 US HIGHWAY 19 STE 102A",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346682582",
            "telephone_number": "727-861-7043",
            "fax_number": "727-861-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10806 US HIGHWAY 19 STE 102A",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346682582",
            "telephone_number": "727-861-7043",
            "fax_number": "727-861-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CENTER OF PORT RICHEY IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-861-7043"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.