Organization Active NPI

Primary Care Associates PA

  • Family Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1285689216
Registry record updated Oct 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY CARE ASSOCIATES PA
Practice address
8483 S US Highway 1
Suite 19
Port St Lucie, FL 34952-3360
Phone
(772) 873-1770
Fax
(772) 873-1313
NPI assigned
May 25, 2006
Last updated
Oct 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2007

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

Authorized official

Name
Ravi Mehan, DO
Title
President
Phone
(772) 873-1770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

8483 S US Highway 1
Suite 19
Port St Lucie, FL 34952-3360

Mailing address

8483 S US Highway 1
Suite 19
Port St Lucie, FL 34952-3360
Phone (772) 873-1770

National Provider Directory

National Provider Directory

Locations

1430 SW Saint Lucie West Blvd
Ste 101
Port St Lucie, FL 34986
Phone (772) 877-3591

6103 SE Federal Hwy
Stuart, FL 34997
Phone (772) 220-1666

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJHGBD

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192233600000",
    "number": "1285689216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8483 S US HIGHWAY 1",
            "address_2": "SUITE 19",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523360",
            "telephone_number": "772-873-1770",
            "fax_number": "772-873-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8483 S US HIGHWAY 1",
            "address_2": "SUITE 19",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523360",
            "telephone_number": "772-873-1770",
            "fax_number": "772-873-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-10-13",
        "status": "A",
        "authorized_official_last_name": "MEHAN",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-873-1770",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.