Organization Active NPI

Dr J S House Calls LLC

  • Family Medicine Physician
  • Marco Island, FL
National Provider Identifier
1215333596
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9581 Issued in FL
Legal business name
DR J S HOUSE CALLS LLC
Practice address
160 Leeward CT
Marco Island, FL 34145-4111
Phone
(313) 505-5877
NPI assigned
Nov 13, 2014
Last updated
Nov 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Dr. James Joseph Faremouth, D.O.NPI 1124056015
Title
Operating Member
Phone
(313) 505-5877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS9581 FL Primary

Addresses

Primary practice location

160 Leeward CT
Marco Island, FL 34145-4111

Mailing address

3823 Tamiami TRL E
Naples, FL 34112-6224
Phone (313) 505-5877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180322000903 FL Part B Supplier - Clinic/Group Practice 1052673498 Receives reassigned benefits from 3 practitioners
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

12250 Tamiami Trl E
Ste 202
Naples, FL 34113
Phone (239) 692-8934

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1215333596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 TAMIAMI TRL E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126224",
            "telephone_number": "313-505-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 LEEWARD CT",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341454111",
            "telephone_number": "313-505-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR J S HOUSE CALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "FAREMOUTH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OPERATING MEMBER",
        "authorized_official_telephone_number": "313-505-5877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marco Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.