Mayo Street Medical, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MAYO STREET MEDICAL, INC

Practice address

7600 Mayo St Ste a
Century, FL 32535-2905

Phone

(888) 517-4992

Fax

(252) 377-4231

NPI assigned

Jan 31, 2015

Last updated

Jan 31, 2015By 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

Dr. Christian Bachman, MD

Title

President

Phone

(888) 517-4992

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Teresa F Hatfield, ARNP

  • Family Nurse Practitioner
  • Century, FL
  • NPI 1174644934
  NPD (past)

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1164812962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 MAYO ST STE A",
            "city": "CENTURY",
            "state": "FL",
            "postal_code": "325352905",
            "telephone_number": "888-517-4992",
            "fax_number": "252-377-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 MAYO ST STE A",
            "city": "CENTURY",
            "state": "FL",
            "postal_code": "325352905",
            "telephone_number": "888-517-4992",
            "fax_number": "252-377-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO STREET MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "BACHMAN",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-517-4992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Century, FL
• Providers in Century, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.