Organization Active NPI

Patients Primary Care LLC

  • General Practice Physician
  • Ocala, FL
National Provider Identifier
1073709333
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Sep 10, 2008

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
POO269817OtherFLMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051017001131 FL Part B Supplier - Clinic/Group Practice 5890711089 Receives reassigned benefits from 4 practitioners
Practice locations: Ocala, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1047869Patients Primary Care LLC4413 NW Blitchton Rd, Ocala, FL 34482Certificate of waiverNov 15, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.