Active NPI
Heathrow Urgent Care Inc
- Urgent Care Clinic/Center
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- HEATHROW URGENT CARE INC
- Practice address
- 1125 Townpark Ave
Suite 1011
Lake Mary, FL 32746-4791 - Phone
- (407) 804-9494
- Fax
- (407) 804-9443
- NPI assigned
- Apr 16, 2007
- Last updated
- Jan 25, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lane R Phillips, D.O.
- Title
- Owner
- Phone
- (407) 804-9494
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
1125 Townpark Ave
Suite 1011
Lake Mary, FL 32746-4791
Mailing address
1125 Townpark Ave
Suite 1011
Lake Mary, FL 32746-4791
Phone (407) 804-9494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 329964 | Other | FL | WELLCARE, STAYWELL, HEALTHEASE |
| B906N | Other | FL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
1125 Townpark Ave
Ste 1011
Lake Mary, FL 32746
Phone (407) 804-9494
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Lake Mary, FL
- NPI 1659374122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359072000000",
"number": "1558586453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 TOWNPARK AVE",
"address_2": "SUITE 1011",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327464791",
"telephone_number": "407-804-9494",
"fax_number": "407-804-9443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 TOWNPARK AVE",
"address_2": "SUITE 1011",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327464791",
"telephone_number": "407-804-9494",
"fax_number": "407-804-9443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEATHROW URGENT CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-16",
"last_updated": "2013-01-25",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "LANE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-804-9494",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE, STAYWELL, HEALTHEASE",
"identifier": "329964",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "B906N",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.