Allevenet QCN

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

ALLEVENET QCN

Practice address

6920 Professional Pkwy E
Lakewood Corporate Center a
Lakewood Ranch, FL 34240-8414

Phone

(941) 313-3300

Fax

(941) 313-3405

NPI assigned

Feb 17, 2014

Last updated

Feb 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew I Imes

Title

President

Phone

(985) 687-5636

Specialties & licenses 1

Addresses

Tax ID family

Adva-Net2 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.

• Adva-Net

  • Exclusive Provider Organization
  • Lakewood Ranch, FL
  • NPI 1174868004
  NPD tax ID

Locations

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

{
    "created_epoch": "1392595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392595200000",
    "number": "1366866089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 PROFESSIONAL PKWY E",
            "address_2": "LAKEWOOD CORPORATE CENTER A",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408414",
            "telephone_number": "941-313-3300",
            "fax_number": "941-313-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 PROFESSIONAL PKWY E",
            "address_2": "LAKEWOOD CORPORATE CENTER A",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408414",
            "telephone_number": "941-313-3300",
            "fax_number": "941-313-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEVENET QCN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-17",
        "last_updated": "2014-02-17",
        "status": "A",
        "authorized_official_last_name": "IMES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-687-5636"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aldrich Cardiovascular Institute
• Gregory Charles Aldrich, D.D.S.
• Martin C Aldrich, MD
• Lukas Alexanian, MD
• Tarah B Allen
• Jorge Alvarez, MD
• Yekaterina Ambrose, PMHNP
• Jacob Douglas Amos
• Ronald Andari Sawaya, M.D
• Cindy Anderson, RPH

• Preferred Provider Organization in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Preferred Provider Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.