Mdlive Medical Group (NC), P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MDLIVE MEDICAL GROUP (NC), P.C.

Practice address

3350 SW 148TH Ave Ste 300
Miramar, FL 33027-3259

Phone

(800) 400-6354

NPI assigned

Jan 31, 2024

Organization subpart

No

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

Authorized official

Name

Merry Schumacher

Title

Sr Director Provider Services

Phone

(800) 400-6354

Specialties & licenses 3

Addresses

Tax ID family

Mdlive Medical Group NC PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Mdlive Medical Group (NC), P.C.

  • Internal Medicine Physician
  • Miramar, FL
  • NPI 1245093707
  NPD tax ID
• Mdlive Medical Group (NC), P.C.

  • Psychiatry Physician
  • Miramar, FL
  • NPI 1811750136
  NPD tax ID
• Mdlive Medical Group (NC), P.C.

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1871966531
  NPD tax ID

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1194588418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 SW 148TH AVE STE 300",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 SW 148TH AVE STE 300",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273259",
            "telephone_number": "800-400-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDLIVE MEDICAL GROUP (NC), P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "SCHUMACHER",
        "authorized_official_first_name": "MERRY",
        "authorized_official_title_or_position": "SR DIRECTOR PROVIDER SERVICES",
        "authorized_official_telephone_number": "800-400-6354"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keysa McLin
• MCS Invens Group Healthcare of Florida LLC
• Jellino McSween, PHARM D
• Kenricka Takeisha McSweeney
• MD on-Call
• Mdlive Medical Group (NC), P.C.
• Mdlive Medical Group (NC), P.C.
• Mdlive Medical Group (NC), P.C.
• Mdlive Medical Group Il LLC
• Mdlive Medical Group Il LLC

• Dermatology Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.