Tallahassee Enhanced Care PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TALLAHASSEE ENHANCED CARE PA

Practice address

4012 Kelcey CT Ste 203
Tallahassee, FL 32308-5986

Phone

(850) 354-8387

Fax

(850) 329-7878

NPI assigned

Mar 6, 2019

Last updated

Oct 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marino Martinez, MDNPI 1750680856

Title

President

Phone

(850) 354-8387

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marino Antonio Martinez, M.D.

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1750680856
  Medicare reassignment Care Compare group NPD Authorized official
• Yolanda Lavone Forman-Payton, APRN

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1932099710
  Medicare reassignment Care Compare group NPD
• Shivani Patel

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1609660018
  Medicare reassignment Care Compare group NPD
• Christina Mann Slotter, APRN

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1396339222
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1144788332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 KELCEY CT STE 203",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085986",
            "telephone_number": "850-354-8387",
            "fax_number": "850-329-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 KELCEY CT STE 203",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085986",
            "telephone_number": "850-354-8387",
            "fax_number": "850-329-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE ENHANCED CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MARINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-354-8387",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ME110239",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.a.
• Tallahassee Endocrine Associates
• Tallahassee Endocrinology and Diabetes Clinic LLC
• Tallahassee Endodontics
• Tallahassee Endoscopy Center Inc
• Tallahassee Facial Pain Center PA
• Tallahassee Facility Operations LLC (Tallahassee Living Center)
• Tallahassee Family Clinic, LLC
• Tallahassee GYN-Oncology LLC
• Tallahassee Imaging Partners LLC (Clear Connect Medical Imaging Tallahassee)

• Internal Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.