Active NPI
Marjorie Webster, M.D.
- Pediatrics Physician
- Clewiston, FL
National Provider Identifier
1174536569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0071736
- Practice address
- 315 S W C Owen Ave
Clewiston, FL 33440-3637 - Phone
- (863) 983-7813
- Fax
- (561) 472-9693
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0071736 | FL | Primary |
Addresses
Primary practice location
315 S W C Owen Ave
Clewiston, FL 33440-3637
Mailing address
5827 Corporate Way
West Palm Beach, FL 33407-2000
Phone (561) 844-9443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265325700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0071736 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Community Health Centers, Inc. | Past | Accepting new patients | |
| Florida Community Health Centers, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- marjorie.webster.1@14865.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Grace Women's Health Center
- Federally Qualified Health Center (FQHC)
- Fort Pierce, FL
- NPI 1104250786
-
dba Florida Community Health Centers, Inc.- Corporate
- Federally Qualified Health Center (FQHC)
- West Palm Beach, FL
- NPI 1144288432
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552953600000",
"number": "1174536569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5827 CORPORATE WAY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334072000",
"telephone_number": "561-844-9443",
"fax_number": "561-472-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S W C OWEN AVE",
"city": "CLEWISTON",
"state": "FL",
"postal_code": "334403637",
"telephone_number": "863-983-7813",
"fax_number": "561-472-9693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "MARJORIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2019-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0071736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265325700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clewiston, FL
- Aimee Vazquez Llanos
- Evian Vichot Perez
- Wal-Mart Stores East LP (Walmart Pharmacy 10-2484)
- Wal-Mart Stores East, LP. (Walmart pharmacy 10-3164)
- Walgreen Co (Walgreens #09956)
- Wecare Family Homecare Agency LLC
- Dave Drew Weems, DO
- Alan L Weiland, DDS
- Wellington Imaging Associates, P a
- Elliott Kingman White
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.