Paige Kreegel MD PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME42565 Issued in FL

Legal business name

PAIGE KREEGEL MD PA

Practice address

3420 Tamiami TRL
Suite 2
Port Charlotte, FL 33952-8127

Phone

(941) 629-4888

Fax

(941) 629-5935

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paige Vanier Kreegel, M.D.NPI 1891735742

Title

President

Phone

(941) 629-4888

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Paige Vanier Kreegel, M.D.

  • General Practice Physician
  • Charlotte Harbor, FL
  • NPI 1891735742
  Authorized official Same address or phone

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235176116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 TAMIAMI TRL",
            "address_2": "SUITE 2",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528127",
            "telephone_number": "941-629-4888",
            "fax_number": "941-629-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 TAMIAMI TRL",
            "address_2": "SUITE 2",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528127",
            "telephone_number": "941-629-4888",
            "fax_number": "941-629-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIGE KREEGEL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KREEGEL",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "VANIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-629-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME42565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.