Organization Active NPI

Primecare Doctors LLC

  • Internal Medicine Physician
  • Crystal River, FL
National Provider Identifier
1558726802
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME71088 Issued in FL
Legal business name
PRIMECARE DOCTORS LLC
Practice address
9030 W Fort Island TRL
Ste 1
Crystal River, FL 34429-2412
Phone
(352) 228-8906
Fax
(352) 228-8905
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Pariksith Singh, MDNPI 1417989625
Title
Owner
Phone
(352) 796-9994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X ME71088 FL Primary

Addresses

Primary practice location

9030 W Fort Island TRL
Ste 1
Crystal River, FL 34429-2412

Mailing address

1214 Mariner Blvd
Spring Hill, FL 34609-5657
Phone (352) 796-9994

Other identifiers 3

IdentifierTypeStateIssuer
016510400MedicaidFL
016510401MedicaidFL
7Z3JBOtherFLFLORIDA BCBS

National Provider Directory

National Provider Directory

Locations

31158 Cortez Blvd
Brooksville, FL 34602
Phone (352) 796-5303

1214 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 688-4556

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EGAEAD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1558726802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095657",
            "telephone_number": "352-796-9994",
            "fax_number": "352-796-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9030 W FORT ISLAND TRL",
            "address_2": "STE 1",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344292412",
            "telephone_number": "352-228-8906",
            "fax_number": "352-228-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE DOCTORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "PARIKSITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-796-9994",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016510400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016510401",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BCBS",
            "identifier": "7Z3JB",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.