Organization Active NPI

There Care, PA

  • Family Medicine Physician
  • Ormond Beach, FL
National Provider Identifier
1205265659
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME107699 Issued in FL
Legal business name
THERE CARE, PA
Practice address
334 Military Blvd
Ormond Beach, FL 32174-6019
Phone
(386) 366-0191
Fax
(386) 673-3210
NPI assigned
Nov 6, 2013
Last updated
Nov 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Dr. Samuel Douglas Miller, M.D.
Title
President
Phone
(386) 366-0191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME107699 FL Primary

Addresses

Primary practice location

334 Military Blvd
Ormond Beach, FL 32174-6019

Mailing address

226 N Nova Rd
Suite 383
Ormond Beach, FL 32174-5124
Phone (386) 366-0191

National Provider Directory

National Provider Directory

Locations

226 N Nova Rd
Ormond Beach, FL 32174
Phone (386) 235-1489

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1205265659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N NOVA RD",
            "address_2": "SUITE 383",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745124",
            "telephone_number": "386-366-0191",
            "fax_number": "386-673-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 MILITARY BLVD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321746019",
            "telephone_number": "386-366-0191",
            "fax_number": "386-673-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERE CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-366-0191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME107699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.