NPIMap

Organization Active NPI

Medical Risk Solutions

Doing business as MHO-Flagler County EHC-Bunnell

  • Family Medicine Physician
  • Bunnell, FL
National Provider Identifier
1407321698
Registry record updated Dec 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL RISK SOLUTIONS
Doing business as
MHO-Flagler County EHC-Bunnell
Practice address
1769 E. Moody Blvd
Bunnell, FL 32110
Phone
(386) 313-4224
NPI assigned
Oct 4, 2018
Last updated
Dec 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MEDICAL RISK SOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 24, 2023

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

Authorized official

Name
Jason Tomlinson
Title
VP Operations
Phone
(407) 470-6439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1769 E. Moody Blvd
Bunnell, FL 32110

Mailing address

2710 Rew Circle Suite 200
Ocoee, FL 34761
Phone (407) 654-5414

Other names 1

  • MHO-Flagler County EHC-Bunnell Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2024249Medical Risk Solutions1769 Moody Blvd, Bunnell, FL 32110Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Medical Risk Solutions25 organizations share this tax ID, including this one
Part of
Medical Risk Solutions

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

Locations

1769 E Moody Blvd
Bunnell, FL 32110
Phone (386) 313-4224

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703376000000",
    "number": "1407321698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 REW CIRCLE SUITE 200",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "34761",
            "telephone_number": "407-654-5414",
            "fax_number": "407-654-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 E. MOODY BLVD",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "32110",
            "telephone_number": "386-313-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL RISK SOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL RISK SOLUTIONS",
        "enumeration_date": "2018-10-04",
        "last_updated": "2023-12-24",
        "certification_date": "2023-12-24",
        "status": "A",
        "authorized_official_last_name": "TOMLINSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "407-470-6439"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHO-Flagler County EHC-Bunnell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bunnell, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.