Active NPI
Primary Care Providers Inc
- Family Medicine Physician
- Ocala, FL
National Provider Identifier
1083989438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIMARY CARE PROVIDERS INC
- Practice address
- 635 SE 17TH St
Ocala, FL 34471-4428 - Phone
- (352) 237-4877
- Fax
- (352) 237-4880
- NPI assigned
- Mar 19, 2012
- 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
- Linda Lee Struve-Doerflein, ARNP
- Title
- President
- Phone
- (352) 816-1800
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Nurse Practitioner | 363L00000X | ARNP663102 | FL |
Addresses
Primary practice location
635 SE 17TH St
Ocala, FL 34471-4428
Mailing address
1202 SW 17TH St Suite 201
Box 168
Ocala, FL 34471-1283
Phone (352) 237-4877
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120628000262 | FL | Part B Supplier - Clinic/Group Practice | 1951566728 |
Receives reassigned benefits from 26 practitioners Practice locations: Ocala, FL; The Villages, FL |
National Provider Directory
National Provider DirectoryLocations
1202 SW 17th St
Ste 102
Ocala, FL 34471
Phone (352) 237-4417
1202 SW 17th St
Ste 168
Ocala, FL 34471
Practitioners & affiliated clinicians
Practitioners 42
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Bushnell, FL
- NPI 1154804615
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1605052800000",
"number": "1083989438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 SW 17TH ST SUITE 201",
"address_2": "BOX 168",
"city": "OCALA",
"state": "FL",
"postal_code": "344711283",
"telephone_number": "352-237-4877",
"fax_number": "352-237-4880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 SE 17TH ST",
"city": "OCALA",
"state": "FL",
"postal_code": "344714428",
"telephone_number": "352-237-4877",
"fax_number": "352-237-4880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE PROVIDERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-19",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A",
"authorized_official_last_name": "STRUVE-DOERFLEIN",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "352-816-1800",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP663102",
"primary": false
}
],
"identifiers": [],
"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 Nov 11, 2020; 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.