Organization Active NPI

Mercury Center PA

  • Podiatrist
  • Lake Worth, FL
National Provider Identifier
1114113222
Registry record updated May 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2584 Issued in FL
Legal business name
MERCURY CENTER PA
Practice address
7775 Lake Worth Rd
Lake Worth, FL 33467-2536
Phone
(561) 967-6800
Fax
(561) 967-0975
NPI assigned
Sep 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2008

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

Authorized official

Name
Dr. Christopher Richard Oldrich, DPM
Title
President
Phone
(561) 967-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO2584 FL Primary

Addresses

Primary practice location

7775 Lake Worth Rd
Lake Worth, FL 33467-2536

Mailing address

7775 Lake Worth Rd
Lake Worth, FL 33467-2536
Phone (561) 967-6800

National Provider Directory

National Provider Directory

Locations

114 S Semoran Blvd
Ste 5
Winter Park, FL 32792
Phone (321) 972-6142

NPI Registry JSON

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212192000000",
    "number": "1114113222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7775 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672536",
            "telephone_number": "561-967-6800",
            "fax_number": "561-967-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7775 LAKE WORTH RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672536",
            "telephone_number": "561-967-6800",
            "fax_number": "561-967-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2008-05-31",
        "status": "A",
        "authorized_official_last_name": "OLDRICH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-967-6800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.