Active NPI
Primary Care Associates PA
- Family Medicine Physician
- Port St Lucie, FL
National Provider Identifier
1285689216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 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
- Ravi Mehan, DO
- Title
- President
- Phone
- (772) 873-1770
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- 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.
-
- Family Medicine Physician
- Greeneville, TN
- NPI 1629017397
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.