Organization Active NPI

Heathrow Urgent Care Inc

  • Urgent Care Clinic/Center
  • Lake Mary, FL
National Provider Identifier
1558586453
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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.NPI 1659374122
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
329964OtherFLWELLCARE, STAYWELL, HEALTHEASE
B906NOtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.