Prime Assure LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

2721822 Issued in FL

Legal business name

PRIME ASSURE LLC

Practice address

1060 Winter LN
Tallahassee, FL 32311-1267

Phone

(850) 524-1577

NPI assigned

Jun 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Uloma D Onubogu, PHD., ARNP

Title

Manager

Phone

85085241577

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yvette Mignon, MD

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1689743288
  NPD

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

{
    "created_epoch": "1371340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1447699178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WINTER LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323111267",
            "telephone_number": "850-852-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 WINTER LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323111267",
            "telephone_number": "850-524-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME ASSURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-16",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "ONUBOGU",
        "authorized_official_first_name": "ULOMA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "85085241577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD., ARNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "2721822",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "2721822",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009484200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary K. Price, PH.D.,M.S.
• Maryam Motiwala Price, MD
• Phillip Price Jr.
• Ryan Christopher Price, DO
• Luz M Prieto-Sanchez, MD
• Cedric Prince
• Patricia Sanders Prince, ARNP
• Raven Patricia Michelle Prince, CCMA
• Timanda Princinord
• Nayeli Abigail Prine, LMT

• Health Service Clinic/Center in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.