Active NPI
McGregor Medical and Wellness,LLC
- Primary Care Clinic/Center
- Fort Myers, FL
National Provider Identifier
1487039723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME110139
- Legal business name
- MCGREGOR MEDICAL AND WELLNESS,LLC
- Practice address
- 16731 McGregor Blvd Ste 105
Fort Myers, FL 33908-3876 - Phone
- (276) 336-0842
- NPI assigned
- Jul 28, 2015
- 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
- May Joy David Lim, M.D.
- Title
- Owner
- Phone
- (276) 336-0842
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | ME110139 | FL | Primary |
Addresses
Primary practice location
16731 McGregor Blvd Ste 105
Fort Myers, FL 33908-3876
Mailing address
581 Oceanside Blvd
Indialantic, FL 32903-1835
Phone (276) 336-0842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151021001036 | FL | Part B Supplier - Clinic/Group Practice | 6709195340 |
Receives reassigned benefits from 2 practitioners Practice locations: Fort Myers, FL |
National Provider Directory
National Provider DirectoryLocations
9371 Cypress Lake Dr
Ste 10
Fort Myers, FL 33919
Phone (239) 437-2121
9371 Cypress Lake Dr
Ste 8
Fort Myers, FL 33919
Phone (239) 437-2121
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438041600000",
"number": "1487039723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "581 OCEANSIDE BLVD",
"city": "INDIALANTIC",
"state": "FL",
"postal_code": "329031835",
"telephone_number": "276-336-0842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16731 MCGREGOR BLVD STE 105",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339083876",
"telephone_number": "276-336-0842"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCGREGOR MEDICAL AND WELLNESS,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-28",
"last_updated": "2015-07-28",
"status": "A",
"authorized_official_last_name": "LIM",
"authorized_official_first_name": "MAY JOY",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "276-336-0842",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "FL",
"license": "ME110139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.