Organization Active NPI

Patients First Raymond Diehl Medical Center PA

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1295837169
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PATIENTS FIRST RAYMOND DIEHL MEDICAL CENTER PA
Practice address
3401 Capital Circle NE
Tallahassee, FL 32308-3711
Phone
(850) 386-2266
Fax
(850) 701-0883
NPI assigned
Sep 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Dr. Randy R. Reese, MD
Title
Medical Director
Phone
(850) 386-2266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3401 Capital Circle NE
Tallahassee, FL 32308-3711

Mailing address

3401 Capital Circle NE
Tallahassee, FL 32308-3711
Phone (850) 386-2266

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1295837169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CAPITAL CIRCLE NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083711",
            "telephone_number": "850-386-2266",
            "fax_number": "850-701-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CAPITAL CIRCLE NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323083711",
            "telephone_number": "850-386-2266",
            "fax_number": "850-701-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTS FIRST RAYMOND DIEHL MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "850-386-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.