Active NPI
Medical Physicians Group PLLC
- Family Medicine Physician
- Port Saint Lucie, FL
National Provider Identifier
1114408648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MEDICAL PHYSICIANS GROUP PLLC
- Practice address
- 290 NW Peacock Blvd # 880891
Port Saint Lucie, FL 34986-2205 - Phone
- (816) 398-8916
- NPI assigned
- Aug 23, 2018
- 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
- Dr. Pat Leung, MD
- Title
- Ceo/Physician
- Phone
- (863) 874-0898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
290 NW Peacock Blvd # 880891
Port Saint Lucie, FL 34986-2205
Mailing address
PO Box 186
Unit 186
Macclenny, FL 32063
Phone (863) 874-0898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124461124 | Other | NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Medical Physicians Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Port Saint Lucie, FL
- NPI 1598245615
Locations
290 NW Peacock Blvd
#880891
Port St Lucie, FL 34986
Phone (816) 398-8916
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": "1534982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547424000000",
"number": "1114408648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"address_2": "UNIT 186",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "32063",
"telephone_number": "863-874-0898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 NW PEACOCK BLVD # 880891",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349862205",
"telephone_number": "816-398-8916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL PHYSICIANS GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-23",
"last_updated": "2019-01-14",
"status": "A",
"authorized_official_last_name": "LEUNG",
"authorized_official_first_name": "PAT",
"authorized_official_title_or_position": "CEO/PHYSICIAN",
"authorized_official_telephone_number": "863-874-0898",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1124461124",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.