Plantation Medical Care, PA

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

OS-0004310 Issued in FL

Legal business name

PLANTATION MEDICAL CARE, PA

Practice address

9030 W Fort Island TRL Ste 11B
Crystal River, FL 34429

Phone

(352) 651-5127

Fax

(352) 651-5129

NPI assigned

Feb 13, 2018

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adrianne Ashmore Hess

Title

Office Manager

Phone

(352) 651-5127

Specialties & licenses 2

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17538/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1497255814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9030 W FORT ISLAND TRL STE 11B",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344292415",
            "telephone_number": "352-651-5127",
            "fax_number": "352-651-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 W FORT ISLAND TRL STE 11B",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34429",
            "telephone_number": "352-651-5127",
            "fax_number": "352-651-5129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANTATION MEDICAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_middle_name": "ASHMORE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-651-5127"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "OS-0004310",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "OS4310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E Peterlin, DVM
• Marcie Lynn Peterson
• Tajshma Tagayla Peterson
• Cassandra Petty
• Barbara Pinkston, COTA
• Franz Josef Plum, M.D.
• Alexei Polk, PA-C
• Brianna Marie Porro, BIRTH DOULA
• Vicky Post
• Natasha Potts

• Adult Medicine Physician in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.