Patient Aligned Primary Care Center, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME 107681 Issued in FL

Legal business name

PATIENT ALIGNED PRIMARY CARE CENTER, LLC

Practice address

909 Big Tree Rd
South Daytona, FL 32119-2517

Phone

(386) 506-8910

NPI assigned

Jul 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Girish Ghade, M.D.

Title

Member Manager

Phone

(386) 506-8910

Specialties & licenses 2

Addresses

Other names 1

• after hours primary care Doing business as

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1164864617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730096",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321730096",
            "telephone_number": "386-506-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 BIG TREE RD",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192517",
            "telephone_number": "386-506-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT ALIGNED PRIMARY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "GHADE",
        "authorized_official_first_name": "GIRISH",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "386-506-8910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME96367",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 107681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "after hours primary care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Pagan
• Gwenevere Starr Palemo, LMT
• Will Palmerton, DC
• Pamela G. Krones, PH.D.
• Manish H Patel, R.PH
• Justin Pawula
• Peaceful Healing Solutions, LLC
• Chantal Peraggine
• Diana Pereira
• Shannon Perry

• Internal Medicine Physician in South Daytona, FL
• Providers in South Daytona, 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 Jul 25, 2013; 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.