Organization Active NPI

Mracek Family & Internal Medicine Clinic PC

  • Primary Care Clinic/Center
  • Wetumpka, AL
National Provider Identifier
1265908347
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MRACEK FAMILY & INTERNAL MEDICINE CLINIC PC
Practice address
807 Jackson Trace Rd
Wetumpka, AL 36092-1504
Phone
(334) 567-3150
Fax
(334) 567-3152
NPI assigned
Oct 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Dr. James F Mracek II, MD
Title
Owner
Phone
(334) 567-3150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

807 Jackson Trace Rd
Wetumpka, AL 36092-1504

Mailing address

807 Jackson Trace Rd
Wetumpka, AL 36092-1504
Phone (334) 567-3150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1265908347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 JACKSON TRACE RD",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360921504",
            "telephone_number": "334-567-3150",
            "fax_number": "334-567-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 JACKSON TRACE RD",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360921504",
            "telephone_number": "334-567-3150",
            "fax_number": "334-567-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRACEK FAMILY & INTERNAL MEDICINE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "MRACEK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-567-3150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wetumpka, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.