Center for Family Health Wellness and Prevention P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTER FOR FAMILY HEALTH WELLNESS AND PREVENTION P A

Practice address

3165 N McMullen Booth Rd
Suite C1
Clearwater, FL 33761-2032

Phone

(727) 784-8829

Fax

(727) 784-7718

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Michael Oneal, DONPI 1114088028

Title

Medical Doctor

Phone

(424) 784-8829

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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

• Michael L Oneal, DO

  • Legal Medicine
  • Clearwater, FL
  • NPI 1114088028
  Medicare reassignment Authorized official
• Christina Suzanne Bowen, APRN

  • Gerontology Nurse Practitioner
  • Burlington, NC
  • NPI 1144099276
  NPD
• Brent J Agin, MD

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1477510709
  NPD (past)

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1265601595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3165 N MCMULLEN BOOTH RD",
            "address_2": "SUITE C1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612032",
            "telephone_number": "727-784-8829",
            "fax_number": "727-784-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3165 N MCMULLEN BOOTH RD",
            "address_2": "SUITE C1",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612032",
            "telephone_number": "727-784-8829",
            "fax_number": "727-784-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FAMILY HEALTH WELLNESS AND PREVENTION P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "ONEAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "424-784-8829",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2900304",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "80189941",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CCRC - Regency Oaks, LLC
• CCS Medical, Inc.
• Celestara Integrative Care PLLC
• Center for Comprehensive Services, Inc.
• Center for Digestive Healthcare, Inc.
• Center for Positive Change, Inc.
• Centers for Integrative Medicine and Healing
• Centerwell Health Services (Certified), Inc.
• Centurian Administration Corp
• Carly M Cepelak, PA-C

• Family Medicine Physician in Clearwater, FL
• Providers in Clearwater, 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 Jul 15, 2010; 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.