NPIMap

Organization Active NPI

Central Palm Beach Physicians & Urgent Care Inc

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1083092829
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CH5626 Issued in FL
Legal business name
CENTRAL PALM BEACH PHYSICIANS & URGENT CARE INC
Practice address
1905 Clint Moore Rd
Suite 308
Boca Raton, FL 33496-2658
Phone
(561) 967-8888
NPI assigned
May 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Dr. Russ SegerNPI 1699742155
Title
Owner
Phone
(561) 967-8888

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X CH5626 FL Primary

Addresses

Primary practice location

1905 Clint Moore Rd
Suite 308
Boca Raton, FL 33496-2658

Mailing address

4623 Forest Hill Blvd
Suite 101
West Palm Beach, FL 33415-7469
Phone (561) 967-8888

Other names 1

  • TOTAL MD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Palm Beach Physicians Urgent Care Inc18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Practitioners & affiliated clinicians

Practitioners 1

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": "1431475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1083092829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 FOREST HILL BLVD",
            "address_2": "SUITE 101",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334157469",
            "telephone_number": "561-967-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CLINT MOORE RD",
            "address_2": "SUITE 308",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334962658",
            "telephone_number": "561-967-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PALM BEACH PHYSICIANS & URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-13",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "SEGER",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-967-8888",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "CH5626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOTAL MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 15, 2015; 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.