Active NPI
Patients Primary Care LLC
- General Practice Physician
- Ocala, FL
National Provider Identifier
1073709333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- PATIENTS PRIMARY CARE LLC
- Practice address
- 4413 NW Blitchton Rd
Ocala, FL 34482-4056 - Phone
- (352) 629-8088
- Fax
- (352) 629-1962
- NPI assigned
- Sep 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lorijean Fackler, ARNP
- Title
- Managing Member
- Phone
- (352) 629-8088
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
4413 NW Blitchton Rd
Ocala, FL 34482-4056
Mailing address
PO Box 771706
Ocala, FL 34477-1706
Phone (352) 629-8088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| POO269817 | Other | FL | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1047869 | Patients Primary Care LLC | Certificate of waiver | Nov 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
4967 NW Blitchton Rd
Ocala, FL 34482
Phone (352) 629-8088
4413 NW Blitchton Rd
Ocala, FL 34482
Phone (352) 629-8088
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": "1190246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221004800000",
"number": "1073709333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 771706",
"city": "OCALA",
"state": "FL",
"postal_code": "344771706",
"telephone_number": "352-629-8088",
"fax_number": "352-629-1962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4413 NW BLITCHTON RD",
"city": "OCALA",
"state": "FL",
"postal_code": "344824056",
"telephone_number": "352-629-8088",
"fax_number": "352-629-1962"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIENTS PRIMARY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-20",
"last_updated": "2008-09-10",
"status": "A",
"authorized_official_last_name": "FACKLER",
"authorized_official_first_name": "LORIJEAN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "352-629-8088",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "POO269817",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.