Active NPI
Mracek Family & Internal Medicine Clinic PC
- Primary Care Clinic/Center
- Wetumpka, AL
National Provider Identifier
1265908347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.