Active NPI
Quintessential Medical Associates LLC
- Family Medicine Physician
- Port St Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- QUINTESSENTIAL MEDICAL ASSOCIATES LLC
- Practice address
- 573 NW Lake Whitney PL Ste 103
Port St Lucie, FL 34986-1628 - Phone
- (833) 245-5633
- Fax
- (833) 962-6213
- NPI assigned
- Aug 13, 2021
- Last updated
- May 3, 2022
- 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
- Dr. Mohammed J Shweikeh, MD
- Title
- Doctor
- Phone
- (951) 640-1941
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Sleep Medicine (Family Medicine) Physician | 207QS1201X |
Addresses
Primary practice location
573 NW Lake Whitney PL Ste 103
Port St Lucie, FL 34986-1628
Mailing address
PO Box 880854
Port St Lucie, FL 34988-0854
Phone (833) 245-5633
Other practice location 1
1700 S 23rd St
Fort Pierce, FL 34950-4803
Phone (772) 461-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1700 S 23rd St
#1
Fort Pierce, FL 34950
573 NW Lake Whitney Pl
Ste 103
Port St Lucie, FL 34986
Phone (833) 245-5633
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": "1628812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651536000000",
"number": "1336814177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 880854",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349880854",
"telephone_number": "833-245-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "573 NW LAKE WHITNEY PL STE 103",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349861628",
"telephone_number": "833-245-5633",
"fax_number": "833-962-6213"
}
],
"practiceLocations": [
{
"address_1": "1700 S 23rd St",
"address_purpose": "LOCATION",
"city": "Fort Pierce",
"state": "FL",
"postal_code": "349504803",
"country_code": "US",
"telephone_number": "772-461-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "QUINTESSENTIAL MEDICAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-13",
"last_updated": "2022-05-03",
"certification_date": "2022-03-23",
"status": "A",
"authorized_official_last_name": "SHWEIKEH",
"authorized_official_first_name": "MOHAMMED",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "951-640-1941",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QS1201X",
"taxonomy_group": "",
"desc": "Family Medicine, Sleep Medicine",
"state": null,
"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 May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.