NPIMap

Organization Active NPI

Citrus Ridge Medical Centers, Inc

Doing business as Citrus Ridge Health Center

  • Multi-Specialty Clinic/Center
  • Davenport, FL
National Provider Identifier
1356639017
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CITRUS RIDGE MEDICAL CENTERS, INC
Doing business as
Citrus Ridge Health Center
Practice address
115 Lake Davenport Blvd
Davenport, FL 33897-9440
Phone
(863) 256-5030
NPI assigned
Jul 15, 2011
Last updated
Apr 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Dr. Scott David BarnhartNPI 1982690418
Title
President
Phone
(863) 256-5030

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)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Chiropractor 111N00000X FL

Addresses

Primary practice location

115 Lake Davenport Blvd
Davenport, FL 33897-9440

Mailing address

115 Lake Davenport Blvd
Davenport, FL 33897-9440
Phone (863) 256-5030

Other names 1

  • Citrus Ridge Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120717000520 FL Part B Supplier - Clinic/Group Practice 2365608452 Receives reassigned benefits from 6 practitioners
Practice locations: Davenport, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1356639017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LAKE DAVENPORT BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979440",
            "telephone_number": "863-256-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 LAKE DAVENPORT BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979440",
            "telephone_number": "863-256-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS RIDGE MEDICAL CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "BARNHART",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-256-5030",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Ridge Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citrus Ridge Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.