Archwell Health Medical of Florida, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ARCHWELL HEALTH MEDICAL OF FLORIDA, LLC

Practice address

543 Tamiami TRL S
Venice, FL 34285-2927

Phone

(941) 837-8002

Fax

(615) 682-6207

NPI assigned

Feb 20, 2023

Last updated

Jun 19, 2023By 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

Lisa Lucas

Title

Chief Administrative Officer

Phone

(615) 419-9047

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Archwell Health2 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.

• Archwell Health Professional Services, P.a.

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1811695885
  NPD tax ID

Locations

Practitioners 72

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.

• Ira Brant Azneer, DO

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1750389045
  Medicare reassignment Care Compare group NPD
• Karina M Bailey, FNP

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1699408492
  Medicare reassignment Care Compare group NPD
• Mary Elaine Bailey, NP

  • Family Nurse Practitioner
  • Clearwater, FL
  • NPI 1326329566
  Medicare reassignment Care Compare group NPD
• Olga Belder, DO

  • Family Medicine Physician
  • Venice, FL
  • NPI 1225072515
  Medicare reassignment Care Compare group NPD
• Sarah Elizabeth Brown, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1316186166
  Medicare reassignment Care Compare group NPD
• Gary Frumkin, M.D.

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1376587626
  Medicare reassignment Care Compare group NPD
• Roger Lee Harcourt, M.D.

  • Internal Medicine Physician
  • Bradenton, FL
  • NPI 1831300532
  Medicare reassignment Care Compare group NPD
• Anna Ibragimova, ANP

  • Adult Health Nurse Practitioner
  • Bradenton, FL
  • NPI 1881090470
  Medicare reassignment Care Compare group NPD
• Anne-Marie Cathy Johnrose-Brown, M.D.

  • Family Medicine Physician
  • Clearwater, FL
  • NPI 1013024850
  Medicare reassignment Care Compare group NPD
• Ayca Kabasakal, M.D.

  • Internal Medicine Physician
  • New Port Richey, FL
  • NPI 1588697486
  Medicare reassignment Care Compare group NPD
• Nickolas Emmanuel Mileos, NP-C

  • Family Nurse Practitioner
  • New Port Richey, FL
  • NPI 1174039101
  Medicare reassignment Care Compare group NPD
• Ivonn Marcela Ortega, ARNP

  • Family Nurse Practitioner
  • Holiday, FL
  • NPI 1215393970
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1497453450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151",
            "fax_number": "615-833-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 TAMIAMI TRL S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852927",
            "telephone_number": "941-837-8002",
            "fax_number": "615-682-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHWELL HEALTH MEDICAL OF FLORIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "615-419-9047"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Angell, RD, LDN
• Madison Annis, BCBA
• Arabella Garden LLC (Arabella Garden)
• Gina Arabitg, MD
• Arcadia Medical Associates PA (AMA Health Providers)
• Donald N Arents Jr., MD
• Humberto Arias
• Arthur I Acker DMD PA
• Artus Wellness Clinic
• James E Asaph, PA-C

• Internal Medicine Physician in Venice, FL
• Providers in Venice, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.