Primary Care of the Treasure Coast, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIMARY CARE OF THE TREASURE COAST, INC.

Practice address

1265 36TH St
Vero Beach, FL 32960-6574

Phone

(772) 567-6340

Fax

(772) 567-6788

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jack M Luton, MBA

Title

Chief Executive Officer

Phone

(772) 567-6340

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Dean, MD

  • Internal Medicine Physician
  • Vero Beach, FL
  • NPI 1295703288
  NPD (past)
• Jospeh Hill, MD

  • Legal Medicine
  • Vero Beach, FL
  • NPI 1184620106
  NPD (past)
• Richard Miller, PA-C

  • Physician Assistant
  • Vero Beach, FL
  • NPI 1265456255
  NPD (past)
• Stephanie Thomas, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1184761702
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1356435176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606574",
            "telephone_number": "772-567-6340",
            "fax_number": "772-567-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 36TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606574",
            "telephone_number": "772-567-6340",
            "fax_number": "772-567-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE OF THE TREASURE COAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "LUTON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "772-567-6340",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375002700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mario L Price
• William H Price, M.D.
• William Robert Price Jr., D.D.S.
• Primacare Corporation
• Primacare Health Services, Inc.
• Primary Care of the Treasure Coast, Inc.
• Private Nursing Care, Inc.
• Proactive MD FL LLC
• Proctor Baggett & Yoon MD PA
• Donald Proctor, M.D.

• Family Medicine Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.