Organization Active NPI

Y & P Healthcare LLC

  • Family Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1376874362
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME100694 Issued in FL
Legal business name
Y & P HEALTHCARE LLC
Practice address
3524 Tamiami TRL
Sutie 103
Port Charlotte, FL 33952-8100
Phone
(941) 625-1801
Fax
(941) 391-6796
NPI assigned
Jan 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Dr. Pierre M Leroux, MDNPI 1720203854
Title
Owner
Phone
(941) 625-1801

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME100694 FL Primary

Addresses

Primary practice location

3524 Tamiami TRL
Sutie 103
Port Charlotte, FL 33952-8100

Mailing address

3524 Tamiami TRL
Sutie 103
Port Charlotte, FL 33952-8100
Phone (941) 625-1801

Other identifiers 1

IdentifierTypeStateIssuer
000N8OtherFLBCBS

National Provider Directory

National Provider Directory

Locations

3524 Tamiami Trl
Ste 103
Pt Charlotte, FL 33952
Phone (941) 625-4801

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1376874362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 TAMIAMI TRL",
            "address_2": "SUTIE 103",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528100",
            "telephone_number": "941-625-1801",
            "fax_number": "941-391-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 TAMIAMI TRL",
            "address_2": "SUTIE 103",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528100",
            "telephone_number": "941-625-1801",
            "fax_number": "941-391-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y & P HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "LEROUX",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-625-1801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME100694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000N8",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.