NPIMap

Organization Active NPI

Primary Care Providers Inc

  • Family Medicine Physician
  • Ocala, FL
National Provider Identifier
1083989438
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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
Last updated
Nov 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Linda Lee Struve-Doerflein, ARNPNPI 1235298522
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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, and the practitioner matching its NPPES authorized official.

View all 42

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.

Verify at the official NPI Registry.