Active NPI
Physician Partners Network PA
- Rural Health Clinic/Center
- Brooksville, FL
National Provider Identifier
1447290952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- PHYSICIAN PARTNERS NETWORK PA
- Practice address
- 605 Lamar Ave
Brooksville, FL 34601-3211 - Phone
- (352) 796-9990
- Fax
- (352) 796-2226
- NPI assigned
- Jun 7, 2006
- Last updated
- Jun 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Louise Eldridge
- Title
- Office Manager
- Phone
- (352) 796-9990
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | FL | Primary | |
| General Practice Physician | 208D00000X | FL |
Addresses
Primary practice location
605 Lamar Ave
Brooksville, FL 34601-3211
Mailing address
605 Lamar Ave
Brooksville, FL 34601-3211
Phone (352) 796-9990
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660024700 | Medicaid | FL | |
| 251473700 | Medicaid | FL | |
| 40952 | Other | FL | BLUE CROSS BLUE SHIELD |
| CD8188 | Other | FL | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Brooksville, FL
- NPI 1922079409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212451200000",
"number": "1447290952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 LAMAR AVE",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346013211",
"telephone_number": "352-796-9990",
"fax_number": "352-796-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 LAMAR AVE",
"city": "BROOKSVILLE",
"state": "FL",
"postal_code": "346013211",
"telephone_number": "352-796-9990",
"fax_number": "352-796-2226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN PARTNERS NETWORK PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2008-06-03",
"status": "A",
"authorized_official_last_name": "ELDRIDGE",
"authorized_official_first_name": "LOUISE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "352-796-9990"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "660024700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251473700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "40952",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CD8188",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooksville, FL
- Philip Townsend MD PA
- Ana Roberta Philipsen, ACUPUNCTURE PHYSICIA
- Phoenix Counseling Service Inc (Phoenix Counseling Service)
- Physical Therapy Services of Brooksville Inc
- Physician Partners Network PA
- Mallik A Piduru, M.D.
- Edward Russell Pierce
- Isabel Pietras
- Debra Jean Pilla
- Pine Brook Pharmacy LLC (Pine Brook Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.