NPIMap

Organization Active NPI

Promed Clinics, LLC

  • Clinic/Center
  • Frederiksted, VI
National Provider Identifier
1487998035
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2-21364-1L Issued in VI
Legal business name
PROMED CLINICS, LLC
Practice address
1 Estate Cane
Suite 207,208,209
Frederiksted, VI 00840-4425
Phone
(340) 773-0007
NPI assigned
Nov 20, 2012
Last updated
Nov 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Dr. Anthony Ricketts, M.D.
Title
Owner
Phone
(340) 773-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2-21364-1L VI Primary

Addresses

Primary practice location

1 Estate Cane
Suite 207,208,209
Frederiksted, VI 00840-4425

Mailing address

1 Estate Cane
Suite 205
Frederiksted, VI 00840-4425
Phone (340) 773-0007

National Provider Directory

National Provider Directory

Locations

1 Estate Cane
Ste 20720
Frederiksted, VI 00840
Phone (340) 773-0007

1 Sunshine Mall St
Ste 207209
Frederiksted, VI 00840
Phone (340) 773-0007

Practitioners & affiliated clinicians

Practitioners 3

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": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1487998035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ESTATE CANE",
            "address_2": "SUITE 205",
            "city": "FREDERIKSTED",
            "state": "VI",
            "postal_code": "008404425",
            "telephone_number": "340-773-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ESTATE CANE",
            "address_2": "SUITE 207,208,209",
            "city": "FREDERIKSTED",
            "state": "VI",
            "postal_code": "008404425",
            "telephone_number": "340-773-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "RICKETTS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "340-773-0007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VI",
            "license": "2-21364-1L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederiksted, VI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.