NPIMap

Organization Active NPI

Mdy Primary Care Medicine P a

  • Specialist
  • Davenport, FL
National Provider Identifier
1497974133
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0072925 Issued in FL
Legal business name
MDY PRIMARY CARE MEDICINE P A
Practice address
102 Park Place Blvd
Davenport, FL 33837-6857
Phone
(863) 422-0032
Fax
(863) 422-3275
NPI assigned
Apr 24, 2007
Last updated
Jan 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Margaret R Yee, MDNPI 1669405114
Title
Owner
Phone
(863) 422-0032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0072925 FL Primary

Addresses

Primary practice location

102 Park Place Blvd
Davenport, FL 33837-6857

Mailing address

102 Park Place Blvd
Davenport, FL 33837-6857
Phone (863) 422-0032

National Provider Directory

National Provider Directory

Locations

102 Park Place Blvd
Davenport, FL 33837
Phone (863) 422-0032

Practitioners & affiliated clinicians

Practitioners 5

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1497974133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PARK PLACE BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376857",
            "telephone_number": "863-422-0032",
            "fax_number": "863-422-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK PLACE BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338376857",
            "telephone_number": "863-422-0032",
            "fax_number": "863-422-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDY PRIMARY CARE MEDICINE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-422-0032",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0072925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.