NPIMap

Organization Active NPI

Columbia Medical Group LLC

Doing business as Barclay Medical

  • Family Medicine Physician
  • Greenacres, FL
National Provider Identifier
1477805489
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COLUMBIA MEDICAL GROUP LLC
Doing business as
Barclay Medical
Practice address
2938 S Jog Rd
Greenacres, FL 33467-2002
Phone
(561) 432-3455
Fax
(561) 432-8755
NPI assigned
Oct 15, 2012
Last updated
Nov 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Francisco Perez MesaNPI 1134132384
Title
Manager
Phone
(561) 200-0047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2938 S Jog Rd
Greenacres, FL 33467-2002

Mailing address

2240 W Woolbright Rd
Suite 317
Boynton Beach, FL 33426-6332
Phone (561) 200-0047

Other names 1

  • BARCLAY MEDICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130102000375 FL Part B Supplier - Clinic/Group Practice 8729231501 Receives reassigned benefits from 5 practitioners
Practice locations: Greenacres, FL

National Provider Directory

National Provider Directory
Tax ID family
Barclay Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3907 S Jog Rd
Lake Worth, FL 33467
Phone (561) 432-3455

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1477805489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 W WOOLBRIGHT RD",
            "address_2": "SUITE 317",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266332",
            "telephone_number": "561-200-0047",
            "fax_number": "561-200-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2938 S JOG RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334672002",
            "telephone_number": "561-432-3455",
            "fax_number": "561-432-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "PEREZ MESA",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-200-0047"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARCLAY MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenacres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.