Organization Active NPI

Wholesome Health Primary Care PLLC

  • Internal Medicine Physician
  • Palm Coast, FL
National Provider Identifier
1386482065
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WHOLESOME HEALTH PRIMARY CARE PLLC
Practice address
4869 Palm Coast Parkway NW
Palm Coast, FL 32137
Phone
(347) 653-0717
NPI assigned
Jul 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Dr. Zoheb Shaikh, MD
Title
MD Provider
Phone
(347) 653-0717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4869 Palm Coast Parkway NW
Palm Coast, FL 32137

Mailing address

386 S Atlantic Ave Unit 282
Ormond Beach, FL 32176-7143
Phone (347) 653-0717

National Provider Directory

National Provider Directory

Locations

4869 Palm Coast Pkwy NW
Palm Coast, FL 32137
Phone (386) 575-8510

NPI Registry JSON

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1386482065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 S ATLANTIC AVE UNIT 282",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321767143",
            "telephone_number": "347-653-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4869 PALM COAST PARKWAY NW",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "32137",
            "telephone_number": "347-653-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESOME HEALTH PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "ZOHEB",
        "authorized_official_title_or_position": "MD PROVIDER",
        "authorized_official_telephone_number": "347-653-0717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

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