Organization Active NPI

William R Salazar MD Chartered

  • Internal Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1144455734
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME75404 Issued in FL
Legal business name
WILLIAM R SALAZAR MD CHARTERED
Practice address
2400 Harbor Blvd
Ste 1
Port Charlotte, FL 33952-5052
Phone
(941) 764-8550
Fax
(941) 764-8338
NPI assigned
May 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Authorized official

Name
Dr. William R SalazarNPI 1538153465
Title
Owner
Phone
(941) 764-8550

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME75404 FL Primary

Addresses

Primary practice location

2400 Harbor Blvd
Ste 1
Port Charlotte, FL 33952-5052

Mailing address

2400 Harbor Blvd
Ste 1
Port Charlotte, FL 33952-5052
Phone (941) 764-8550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090715000618 FL Part B Supplier - Clinic/Group Practice 7113079583 Receives reassigned benefits from 1 practitioner
Practice locations: Port Charlotte, FL; Punta Gorda, FL

National Provider Directory

National Provider Directory

Locations

2400 Harbor Blvd
Ste 1
Pt Charlotte, FL 33952
Phone (941) 764-8550

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3789/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1144455734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "STE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-764-8550",
            "fax_number": "941-764-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "STE 1",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-764-8550",
            "fax_number": "941-764-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R SALAZAR MD CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-764-8550",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.