Whole Health Premier Medical Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WHOLE HEALTH PREMIER MEDICAL GROUP LLC

Practice address

6272 Lake Osprey Dr
Lakewood Ranch, FL 34240-8425

Phone

(941) 290-5400

Fax

(941) 289-2492

NPI assigned

Aug 25, 2023

Organization subpart

No

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

Authorized official

Name

Kimberly Borsheim

Title

Managing Partner

Phone

(941) 290-5400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1386429652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6272 LAKE OSPREY DR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6272 LAKE OSPREY DR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408425",
            "telephone_number": "941-290-5400",
            "fax_number": "941-289-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HEALTH PREMIER MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "BORSHEIM",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "941-290-5400"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zacory White
• Derek Whitecotton, PHARMD
• Amanda Whitson
• Kathleen Whitworth, LMHC
• Whole Health Pediatrics, LLC
• Jessica Wians
• Anna M Widmyer, M.D.
• Ashley Marie Williams, PA-C
• Kerry Lynn Williams, NP
• Sharla Dawn Williams, L.M.T., C.N.M.T.

• Family Medicine Physician in Lakewood Ranch, FL
• Providers in Lakewood Ranch, 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 May 2, 2024; 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.