MCR Health, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MCR HEALTH, INC.

Doing business as

Manatee General Surgery / Gi

Practice address

250 2ND St E
Suite 4G
Bradenton, FL 34208-1029

Phone

(941) 747-8404

Fax

(941) 747-0773

NPI assigned

Oct 5, 2007

Last updated

Nov 27, 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

Melvin B Price

Title

President/Ceo

Phone

(941) 776-4000

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MANATEE GENERAL SURGERY / GI Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053509950. Details of each certification follow.

• CCN 101811 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 101811

Legal name

MCR HEALTH INC

Doing business as

MANATEE GENERAL SURGERY / GI

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 18, 2008

Last certification

Jan 18, 2008

Ownership / control type

For profit – corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 11, 1978 in FL

Enrollment address

250 2ND E St 4G
Bradenton, FL 34208-1028

Tax ID family

Manatee County Rural He130 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• MCR Health, Inc.

  dba MCR Health Southeast High School

  • Federally Qualified Health Center (FQHC)
  • Bradenton, FL
  • NPI 1013550904
  NPD tax ID
• MCR Health, Inc.

  dba Dental Mobile Bus

  • Dentist
  • Parrish, FL
  • NPI 1013743566
  NPD tax ID
• MCR Health, Inc.

  dba Edgar H. Price Jr. Family and Children Healthcare Center

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1023406584
  NPD tax ID
• MCR Health, Inc.

  dba Advanced Specialty Institute Gastroenterology II

  • Gastroenterology Physician
  • Bradenton, FL
  • NPI 1023935327
  NPD tax ID
• MCR Health, Inc.

  dba Jacaranda Family Medicine

  • Family Medicine Physician
  • Venice, FL
  • NPI 1043760606
  NPD tax ID
• MCR Health, Inc.

  dba Advanced Specialty Institute Pulmonology II

  • General Practice Physician
  • Bradenton, FL
  • NPI 1053061093
  NPD tax ID
• MCR Health, Inc.

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1053688903
  NPD tax ID
• MCR Health, Inc.

  dba Health and Wellness Wesley Chapel

  • Family Medicine Physician
  • Wesley Chapel, FL
  • NPI 1053964726
  NPD tax ID
• MCR Health, Inc.

  dba Advanced Specialty Institute OB/GYN II

  • Obstetrics & Gynecology Physician
  • Bradenton, FL
  • NPI 1063339802
  NPD tax ID
• MCR Health, Inc.

  dba Health and Wellness Dade City

  • Family Medicine Physician
  • Dade City, FL
  • NPI 1073166740
  NPD tax ID
• MCR Health, Inc.

  dba MCR Health Venice Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Venice, FL
  • NPI 1083246359
  NPD tax ID
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bradenton, FL
  • NPI 1083984587
  NPD tax ID

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 16

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1053509950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000",
            "fax_number": "941-776-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 2ND ST E",
            "address_2": "SUITE 4G",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081029",
            "telephone_number": "941-747-8404",
            "fax_number": "941-747-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "941-776-4000"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029561230",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029561231",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANATEE GENERAL SURGERY / GI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MANATEE GENERAL SURGERY / GI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ebony McPherson, APRN
• Mia Ann McQueen
• MCR Health, Inc. (MCR Health Southeast High School)
• MCR Health, Inc. (Advanced Specialty Institute Gastroenterology II)
• MCR Health, Inc. (Advanced Specialty Institute Pulmonology II)
• MCR Health, Inc. (Health Park East Pharmacy)
• MCR Health, Inc. (Advanced Specialty Institute OB/GYN II)
• MCR Health, Inc.
• MCR Health, Inc.
• MCR Health, Inc.

• Surgery Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.