Active NPI
Medical Ventures of America
Doing business as Lake Regional Urgent Care
- Urgent Care Clinic/Center
- The Villages, FL
National Provider Identifier
1265631519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- MEDICAL VENTURES OF AMERICA
- Doing business as
- Lake Regional Urgent Care
- Practice address
- 910 Old Camp Rd
Prof BLDG 114
The Villages, FL 32162-5604 - Phone
- (352) 259-4322
- Fax
- (352) 259-3882
- NPI assigned
- Jul 17, 2007
- Last updated
- Jul 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dawn E Walker
- Title
- Director of Billing
- Phone
- (352) 315-1651
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
910 Old Camp Rd
Prof BLDG 114
The Villages, FL 32162-5604
Mailing address
910 Old Camp Rd
Prof Building 114
The Villages, FL 32162
Phone (352) 315-8881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B902B | Other | FL | BLUE CROSS AND BLUE SHIEL |
Other names 1
- LAKE REGIONAL URGENT CARE
National Provider Directory
National Provider Directory- Tax ID family
- Medical Ventures of America
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Lake Regional Urgent Care
- Urgent Care Clinic/Center
- Leesburg, FL
- NPI 1043261415
-
dba Lake Regional Primary Care
- Legal Medicine
- Mount Dora, FL
- NPI 1053869487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184630400000",
"number": "1265631519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 OLD CAMP RD",
"address_2": "PROF BUILDING 114",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "32162",
"telephone_number": "352-315-8881",
"fax_number": "352-315-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 OLD CAMP RD",
"address_2": "PROF BLDG 114",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321625604",
"telephone_number": "352-259-4322",
"fax_number": "352-259-3882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL VENTURES OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-17",
"last_updated": "2007-07-17",
"status": "A",
"authorized_official_last_name": "WALKER",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR OF BILLING",
"authorized_official_telephone_number": "352-315-1651",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "B902B",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LAKE REGIONAL URGENT CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.