Organization Active NPI

Complemed, LLC

  • Family Medicine Physician
  • Wesley Chapel, FL
National Provider Identifier
1164818829
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS5723 Issued in FL
Legal business name
COMPLEMED, LLC
Practice address
2718 Windguard Circle
Suite 102
Wesley Chapel, FL 33544
Phone
(813) 388-6865
Fax
(813) 388-6866
NPI assigned
Apr 9, 2015
Organization subpart
Yes
Parent organization
STEPHANIE MARGARET BIENAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Stephanie Margaret Bien, DONPI 1033166327
Title
Owner
Phone
(813) 388-6865

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS5723 FL Primary

Addresses

Primary practice location

2718 Windguard Circle
Suite 102
Wesley Chapel, FL 33544

Mailing address

2718 Windguard Circle
Suite 102
Wesley Chapel, FL 33544
Phone (813) 388-6865

Other names 1

  • Complemed, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Complemed LLC

Locations

2718 Windguard Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 388-6865

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": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1164818829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 WINDGUARD CIRCLE",
            "address_2": "SUITE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33544",
            "telephone_number": "813-388-6865",
            "fax_number": "813-388-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 WINDGUARD CIRCLE",
            "address_2": "SUITE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "33544",
            "telephone_number": "813-388-6865",
            "fax_number": "813-388-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEMED, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPHANIE MARGARET BIEN",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "BIEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-388-6865",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complemed, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.