Organization Active NPI

Just Medical Care

  • Family Medicine Physician
  • Temple Terrace, FL
National Provider Identifier
1124791900
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JUST MEDICAL CARE
Practice address
10320 N 56TH St Ste 100
Temple Terrace, FL 33617-4057
Phone
(813) 442-5144
Fax
(833) 792-1020
NPI assigned
Jul 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Dr. Bamidele Olatunbosun, MDNPI 1659682854
Title
President
Phone
(510) 407-4473

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
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

10320 N 56TH St Ste 100
Temple Terrace, FL 33617-4057

Mailing address

10320 N 56TH St Ste 100
Temple Terrace, FL 33617-4057
Phone (813) 442-5144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210819000049 FL Part B Supplier - Clinic/Group Practice 8426453176 Receives reassigned benefits from 1 practitioner
Practice locations: Temple Terrace, FL

National Provider Directory

National Provider Directory

Locations

10320 N 56th St
Ste 100
Temple Terrace, FL 33617
Phone (813) 442-5144

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24477/brand/1/csg/1/fhir/r4

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": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1124791900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 N 56TH ST STE 100",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336174057",
            "telephone_number": "813-442-5144",
            "fax_number": "833-792-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 N 56TH ST STE 100",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336174057",
            "telephone_number": "813-442-5144",
            "fax_number": "833-792-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "OLATUNBOSUN",
        "authorized_official_first_name": "BAMIDELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-407-4473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.