Mehan Geriatric Care Corp

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

MEHAN GERIATRIC CARE CORP

Practice address

8737 Bally Bunion Rd
Port St Lucie, FL 34986-3086

Phone

(954) 558-4549

NPI assigned

Sep 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ravi Mehan, DO

Title

Owner/ Physician

Phone

(954) 558-4549

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1376825554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 BALLY BUNION RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863086",
            "telephone_number": "954-558-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 BALLY BUNION RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863086",
            "telephone_number": "954-558-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHAN GERIATRIC CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "MEHAN",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "954-558-4549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mefl, LLC
• James V Meidel
• Michael A. Meloni, MD
• James Michael Melotek, M.D.
• Antonio B Menchavez, CRNA
• Yasmeen Maria Mendez

• Geriatric Medicine (Family Medicine) Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.