Organization Active NPI

Wayne H Case MD PA

Doing business as Family Medical Centre

  • Family Medicine Physician
  • Hialeah, FL
National Provider Identifier
1609813310
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0019774 Issued in FL
Legal business name
WAYNE H CASE MD PA
Doing business as
Family Medical Centre
Practice address
3410 W 84 St
Ste 110 BLDG F
Hialeah, FL 33018
Phone
(305) 558-3571
Fax
(305) 558-3682
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Authorized official

Name
Mr. Wayne H Case, MDNPI 1215928916
Title
Physician Owner
Phone
(305) 558-3571

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME0019774 FL Primary

Addresses

Primary practice location

3410 W 84 St
Ste 110 BLDG F
Hialeah, FL 33018

Mailing address

3410 W 84 St
Ste 110 BLDG F
Hialeah, FL 33018
Phone (305) 558-3571

Other names 1

  • Family Medical Centre Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040114000036 FL Part B Supplier - Clinic/Group Practice 5092616094 Receives reassigned benefits from 14 practitioners
Practice locations: Doral, FL; Hialeah, FL; Pembroke Pines, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0705040Family Medical Centre3410 W 84 St #110, Hialeah, FL 33018ComplianceJan 12, 2027

National Provider Directory

National Provider Directory

Locations

2600 NW 87th Ave
Ste 19
Doral, FL 33172
Phone (305) 398-1991

3470 NW 82nd Ave
Doral, FL 33122

17933 NW 7th St
Ste 102
Pembroke Pines, FL 33029
Phone (954) 436-1927

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1609813310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 W 84 ST",
            "address_2": "STE 110 BLDG F",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "305-558-3571",
            "fax_number": "305-558-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 W 84 ST",
            "address_2": "STE 110 BLDG F",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "305-558-3571",
            "fax_number": "305-558-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE H CASE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "305-558-3571",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0019774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.