Incare Winterhaven LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

INCARE WINTERHAVEN LLC

Practice address

603 6TH St NW
Winter Haven, FL 33881-4010

Phone

(239) 444-8639

NPI assigned

Sep 29, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Teshy John, MDNPI 1508153487

Title

Owner

Phone

(239) 444-8639

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pramjeet Singh Ahluwalia, M.D

  • Internal Medicine Physician
  • Riverview, FL
  • NPI 1619237948

  FL

  Medicare reassignment Care Compare group NPD
• Teshy John, M.D.

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1508153487

  Emergency Medicine, FL

  Medicare reassignment NPD Authorized official
• Naveen Paddu, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1891126140

  FL, Single Specialty

  Medicare reassignment Care Compare group NPD
• Deborah Nicasio, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Palmetto, FL
  • NPI 1801422969

  FL

  Medicare reassignment NPD

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

CLIA laboratory certificates

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1164039665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 6TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 6TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814010",
            "telephone_number": "239-444-8639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 N Franklin St",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336023313",
            "country_code": "US",
            "telephone_number": "813-553-3330",
            "fax_number": "813-741-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INCARE WINTERHAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "TESHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-444-8639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Crystal Elizabeth Ingle, ARNP
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• All providers in Winter Haven, FL
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.