Organization Active NPI

Wholistic Medical Center of Stuart LLC

  • Family Medicine Physician
  • Stuart, FL
National Provider Identifier
1326203522
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHOLISTIC MEDICAL CENTER OF STUART LLC
Practice address
55 SE Osceola St
Suite 102
Stuart, FL 34994-2149
Phone
(772) 288-3668
Fax
(772) 288-3655
NPI assigned
Jul 28, 2008
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Mr. James N Georgiades, DOM/AP
Title
Owner
Phone
(772) 288-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

55 SE Osceola St
Suite 102
Stuart, FL 34994-2149

Mailing address

55 SE Osceola St
Suite 102
Stuart, FL 34994-2149
Phone (772) 288-3668

National Provider Directory

National Provider Directory
Tax ID family
Wholistic Medical Center of Stuart LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1326203522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SE OSCEOLA ST",
            "address_2": "SUITE 102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942149",
            "telephone_number": "772-288-3668",
            "fax_number": "772-288-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SE OSCEOLA ST",
            "address_2": "SUITE 102",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942149",
            "telephone_number": "772-288-3668",
            "fax_number": "772-288-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC MEDICAL CENTER OF STUART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "GEORGIADES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-288-3668",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DOM/AP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.