NPIMap

Organization Active NPI

Ar Medical LLC

Doing business as Ludowici Medical Center

  • Primary Care Clinic/Center
  • Ludowici, GA
National Provider Identifier
1306916119
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
055131 Issued in GA
Legal business name
AR MEDICAL LLC
Doing business as
Ludowici Medical Center
Practice address
15 North McDonald Street
Ludowici, GA 31316-0068
Phone
(912) 545-9511
Fax
(912) 545-9341
NPI assigned
Nov 9, 2006
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Firoz Patka, MDNPI 1821079138
Title
President
Phone
(478) 625-7597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 055131 GA Primary

Addresses

Primary practice location

15 North McDonald Street
Ludowici, GA 31316-0068

Mailing address

809 Peachtree Street
Louisville, GA 30434-1449
Phone (478) 625-7597

Other names 1

  • Ludowici Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ar Medical LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1306916119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 PEACHTREE STREET",
            "city": "LOUISVILLE",
            "state": "GA",
            "postal_code": "304341449",
            "telephone_number": "478-625-7597",
            "fax_number": "478-625-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NORTH MCDONALD STREET",
            "city": "LUDOWICI",
            "state": "GA",
            "postal_code": "313160068",
            "telephone_number": "912-545-9511",
            "fax_number": "912-545-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AR MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "PATKA",
        "authorized_official_first_name": "FIROZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-625-7597",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "055131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ludowici Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ludowici, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.