Organization Active NPI

Primacare Emc, Inc.

  • Primary Care Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1396229605
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PRIMACARE EMC, INC.
Practice address
3236 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-1202
Phone
(727) 823-4848
NPI assigned
Sep 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Authorized official

Name
John Lloyd Wheeler, ARNP
Title
Ceo
Phone
(727) 823-4848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3236 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-1202

Mailing address

3236 Dr Martin Luther King Jr St N
St Petersburg, FL 33704-1202
Phone (727) 823-4848

Other names 1

  • PrimaCare EMC, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

3236 Mlk Jr St N
St Petersburg, FL 33704
Phone (727) 823-4848

NPI Registry JSON

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1396229605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041202",
            "telephone_number": "727-823-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 DR MARTIN LUTHER KING JR ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041202",
            "telephone_number": "727-823-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMACARE EMC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-823-4848",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PrimaCare EMC, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.