Individual provider Active NPI

Jean-Michel Lamour, MD

  • Internal Medicine Physician
  • Greenacres, FL
National Provider Identifier
1619951043
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME57691 Issued in FL
Practice address
4849 Lake Worth Rd
Greenacres, FL 33463-3455
Phone
(561) 433-4446
Fax
(561) 433-3026
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME57691 FL Primary

Addresses

Primary practice location

4849 Lake Worth Rd
Greenacres, FL 33463-3455

Mailing address

4849 Lake Worth Rd
Greenacres, FL 33463-3455
Phone (561) 433-4446

Other identifiers 1

IdentifierTypeStateIssuer
377273000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110616000681 FL Practitioner - Internal Medicine 3779761986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PCC Medical Holdings LLC 27 clinicians

Practice addresses (Care Compare)

2911 N Military TRL D
PCC of West Palm
West Palm Beach, FL 33409-2922
Phone (561) 478-8825

4849 Lake Worth Rd
PCC of Millake Greenacres
Greenacres, FL 33463-3461
Phone (561) 433-4446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Medical Holdings LLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients

Locations

4849 Lake Worth Rd
Fl 1
Greenacres, FL 33463

4849 Lake Worth Rd
Greenacres, FL 33463
Phone (561) 202-6064

1140 S Semoran Blvd
Ste E
Orlando, FL 32807
Phone (407) 384-9165

2911 N Military Trl
Ste D
West Palm Beach, FL 33409
Phone (561) 478-8825

Interoperability endpoints

  • Direct secure messaging: jean-michael.lamour.1@32578.direct.athenahealth.com
  • Direct secure messaging: jeanmichel.lamour@millake.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1619951043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633455",
            "telephone_number": "561-433-4446",
            "fax_number": "561-433-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633455",
            "telephone_number": "561-433-4446",
            "fax_number": "561-433-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOUR",
        "first_name": "JEAN-MICHEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME57691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377273000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.