Organization Active NPI

Heathrow Urgent Care

Doing business as Winter Park Urgent Care

  • Urgent Care Clinic/Center
  • Winter Park, FL
National Provider Identifier
1073767711
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HEATHROW URGENT CARE
Doing business as
Winter Park Urgent Care
Practice address
118 W Fairbanks Ave
Winter Park, FL 32789-4327
Phone
(407) 772-2273
NPI assigned
Nov 7, 2008
Last updated
Nov 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Dr. Lane Phillips, D.O.
Title
Owner
Phone
(407) 772-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

118 W Fairbanks Ave
Winter Park, FL 32789-4327

Mailing address

1125 Townpark Ave
Heathrow, FL 32746-4791
Phone (407) 772-2273

Other identifiers 2

IdentifierTypeStateIssuer
B916XOtherFLBCBS WINTER PARK
329964OtherWELLCARE, STAYWELL, HEALTHEASE

Other names 1

  • WINTER PARK URGENT CARE Doing business as

National Provider Directory

National Provider Directory

Locations

1125 Townpark Ave
Heathrow, FL 32746

118 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 628-6340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1073767711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 TOWNPARK AVE",
            "city": "HEATHROW",
            "state": "FL",
            "postal_code": "327464791",
            "telephone_number": "407-772-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894327",
            "telephone_number": "407-772-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHROW URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-772-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS WINTER PARK",
            "identifier": "B916X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE, STAYWELL, HEALTHEASE",
            "identifier": "329964",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINTER PARK URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.