Jacksonville Urgent Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME97989 Issued in FL

Legal business name

JACKSONVILLE URGENT CARE LLC

Practice address

1126 University Blvd N
Jacksonville, FL 32211-8850

Phone

(832) 651-0323

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Chidi Uche, MDNPI 1891828448

Title

President

Phone

(832) 651-0323

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chidi Chris Uko Uche, MD

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1891828448
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1194962142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 UNIVERSITY BLVD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322118850",
            "telephone_number": "832-651-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 UNIVERSITY BLVD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322118850",
            "telephone_number": "832-651-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "UCHE",
        "authorized_official_first_name": "CHIDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-651-0323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME97989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacksonville Surgery Center, LTD
• Jacksonville Surgical Associates PA
• Jacksonville Therapy LLC
• Jacksonville University
• Jacksonville University School of Orthodontics
• Jacksonville Wellness Center
• Jacksonville Wellness Center & Preventive Medicine Clinic
• Jacksonville Wolfson Childrens Hospital
• Jacksonville Youth Center
• Jacksonville Youth Sanctuary

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.