NPIMap

Organization Active NPI

Boca General & Family Medicine PA

  • Family Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1073724191
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME#60947 Issued in FL
Legal business name
BOCA GENERAL & FAMILY MEDICINE PA
Practice address
1500 NW 10TH Ave
Suite 101
Boca Raton, FL 33486-1312
Phone
(561) 391-2878
Fax
(561) 391-3112
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. William Lee Rowland, MDNPI 1639270200
Title
Owner
Phone
(561) 391-2787

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: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME#60947 FL Primary

Addresses

Primary practice location

1500 NW 10TH Ave
Suite 101
Boca Raton, FL 33486-1312

Mailing address

1500 NW 10TH Ave
Suite 101
Boca Raton, FL 33486-1312
Phone (561) 391-2878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071226000178 FL Part B Supplier - Clinic/Group Practice 6507956828 Receives reassigned benefits from 7 practitioners
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

1590 NW 10th Ave
Ste 201
Boca Raton, FL 33486
Phone (561) 368-2714

Practitioners & affiliated clinicians

Practitioners 7

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1073724191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE",
            "address_2": "SUITE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861312",
            "telephone_number": "561-391-2878",
            "fax_number": "561-391-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW 10TH AVE",
            "address_2": "SUITE 101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334861312",
            "telephone_number": "561-391-2878",
            "fax_number": "561-391-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA GENERAL & FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-391-2787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME#60947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.