NPIMap

Organization Active NPI

Healthcare America Medical Group, Inc.

  • Family Medicine Physician
  • Bradenton, FL
National Provider Identifier
1487665642
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTHCARE AMERICA MEDICAL GROUP, INC.
Practice address
3501 Cortez Rd W
Bradenton, FL 34210-3104
Phone
(941) 752-2700
Fax
(941) 752-2730
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Dr. Werther R. Marciales, M.D.NPI 1619974839
Title
President
Phone
(941) 752-2700

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3501 Cortez Rd W
Bradenton, FL 34210-3104

Mailing address

3501 Cortez Rd W
Bradenton, FL 34210-3104
Phone (941) 752-2700

Other identifiers 1

IdentifierTypeStateIssuer
376937200MedicaidFL

National Provider Directory

National Provider Directory

Locations

7450 Cortez Rd W
Bradenton, FL 34210
Phone (941) 752-2700

9908 Sr 64
Lakewood Ranch, FL 34212
Phone (941) 524-0444

Practitioners & affiliated clinicians

Practitioners 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1487665642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103104",
            "telephone_number": "941-752-2700",
            "fax_number": "941-752-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103104",
            "telephone_number": "941-752-2700",
            "fax_number": "941-752-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE AMERICA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "MARCIALES",
        "authorized_official_first_name": "WERTHER",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-752-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376937200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.