Organization Active NPI

The McGregor Clinic, Inc.

  • Case Manager/Care Coordinator
  • Fort Myers, FL
National Provider Identifier
1104092345
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
THE MCGREGOR CLINIC, INC.
Practice address
3487 Broadway Avenue
Fort Myers, FL 33901-7213
Phone
(239) 334-9555
Fax
(239) 334-2439
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Mr. Bert Thomas Hammond
Title
Ceo
Phone
(239) 334-9555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

3487 Broadway Avenue
Fort Myers, FL 33901-7213

Mailing address

3487 Broadway Avenue
Fort Myers, FL 33901-7213
Phone (239) 334-9555

National Provider Directory

National Provider Directory

Locations

3487 Broadway
Fort Myers, FL 33901
Phone (239) 334-2555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGCGDD
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73262

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1104092345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3487 BROADWAY AVENUE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017213",
            "telephone_number": "239-334-9555",
            "fax_number": "239-334-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3487 BROADWAY AVENUE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339017213",
            "telephone_number": "239-334-9555",
            "fax_number": "239-334-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MCGREGOR CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "BERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-334-9555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.